| Kenneth James Gunderson, FNP-C | |
|
1950 Saint Clair Rd, Idaho Falls, ID 83404-6306 | |
| (208) 569-8249 | |
| Not Available |
| Full Name | Kenneth James Gunderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1950 Saint Clair Rd, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659149086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F12230320 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| St Johns Medical Center | Jackson, WY | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Regional Hospitalists Llc | 4789807165 | 119 |
| Entity Name | Utah Regional Hospitalists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740715507 PECOS PAC ID: 4789807165 Enrollment ID: O20170811001682 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth James Gunderson, FNP-C 1950 Saint Clair Rd, Idaho Falls, ID 83404-6306 Ph: (208) 569-8249 | Kenneth James Gunderson, FNP-C 1950 Saint Clair Rd, Idaho Falls, ID 83404-6306 Ph: (208) 569-8249 |
Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371 |
Katelyn Rose Willis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3230 Nina Dr, Idaho Falls, ID 83404 Phone: 208-243-6077 |
Courtni Lee Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St Ste D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 855-830-4276 |
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641 |
Alexis R Siddoway, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4432 |
Sandy Palma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861 |
James D Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447 |