KIM SUNDSTROM DNP, APRN, PMHNP-BC
NPI 1053159624
Nurse Practitioner - Psychiatric/Mental Health in West Jordan, UT
About Kim Sundstrom Dnp, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM SUNDSTROM DNP, APRN, PMHNP-BC (NPI 1053159624) is an individual psychiatric/mental health provider in West Jordan, Utah, licensed in Utah (8849350-4405) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Sundstrom Dnp, Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kim Sundstrom's NPI number?
The NPI number for Kim Sundstrom is 1053159624. It was assigned to this individual provider in the NPPES registry on July 18, 2024.
Where is Kim Sundstrom located?
Kim Sundstrom practices at 9289 S Redwood Rd Ste C, West Jordan, UT 84088. The listed phone number is (801) 568-2898.
What is Kim Sundstrom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kim Sundstrom enrolled in Medicare?
Yes. Kim Sundstrom is registered in the Medicare PECOS enrollment system.
What insurance does Kim Sundstrom accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Kim Sundstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kim Sundstrom was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kim Sundstrom, DNP, APRN, PMHNP-BC · NPI 1053159624
Psychiatric/Mental Health physician in West Jordan, Utah. Individual provider, active in the CMS NPPES registry since July 18, 2024.
## Identity
- **NPI:** 1053159624 (Entity type: Individual)
- **Enumerated:** July 18, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 8849350-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 9289 S REDWOOD RD STE C, West Jordan, UT 84088-6731
- **Phone:** (801) 568-2898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Utah School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** July 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053159624) · Data from the CMS NPPES public registry.