Shaun Gundersen Fnp, PLLC
NPI 1457002503 · Nurse Practitioner · Grantsville, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shaun Gundersen Fnp, PLLC is a Nurse Practitioner organization in Grantsville, UT (NPI 1457002503).
Provider details
- NPI number
- 1457002503
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shaun Gundersen, Owner(435) 840-5942
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Gundersen Family Practice
- Doing business as
- Gundersen Family Practice
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Frequently asked questions
- What is Shaun Gundersen Fnp, PLLC's NPI number?
- Shaun Gundersen Fnp, PLLC's National Provider Identifier (NPI) is 1457002503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shaun Gundersen Fnp, PLLC?
- Shaun Gundersen Fnp, PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shaun Gundersen Fnp, PLLC located?
- Shaun Gundersen Fnp, PLLC's practice location on file with NPPES is 163 S Sr 112 Hwy Unit 106, Grantsville, UT 84029-5520.
- What is Shaun Gundersen Fnp, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Shaun Gundersen Fnp, PLLC is (435) 264-4164.
- Does Shaun Gundersen Fnp, PLLC accept Medicare?
- Shaun Gundersen Fnp, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shaun Gundersen Fnp, PLLC?
- The authorized official listed on Shaun Gundersen Fnp, PLLC's NPPES record is Shaun Gundersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shaun Gundersen Fnp, PLLC's NPI active?
- Yes — Shaun Gundersen Fnp, PLLC's NPI (1457002503) is active in the NPPES registry as of the last update on 2024-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.