SHAWN TREVOR BUNNELL AGNP
NPI 1053941351
Nurse Practitioner - Adult Health in Sayre, PA

Q: What is Shawn Bunnell's NPI number?

The NPI number for Shawn Bunnell is 1053941351. It was assigned to this individual provider in the NPPES registry on January 25, 2020.

Q: What is Shawn Bunnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Bunnell was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since January 25, 2020PECOS EnrolledAccepts Medicare Assignment

1537 ELMIRA ST, SAYRE, PA 18840(570) 824-3521 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2020, Jan 25, 2020 (2 updates tracked since 2020).

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About Shawn Trevor Bunnell Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN TREVOR BUNNELL AGNP (NPI 1053941351) is an individual adult health provider in Sayre, Pennsylvania, licensed in New Mexico (83985) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1053941351

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameSHAWN TREVOR BUNNELLCredential: AGNP

Location Address1537 ELMIRA STSayre, PA 18840-9254

Mailing Address3282 S 1380 WNibley, UT 84321-7953 · (435) 890-5553

Phone(570) 824-3521

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 25, 2020

Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1053941351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in NM · 83985✔ Licensed in UT · 8315670-4405

1537 ELMIRA ST, Sayre, PA 18840

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Secondary Practice Location 1

Location 1630 W Maple StFarmington, NM 87401-6113 · Phone (505) 609-6349 · Fax (505) 599-4679

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn Trevor Bunnell Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153739750

PECOS Enrollment IDI20251007000564

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Shawn Bunnell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Berkshire Faculty Services Inc

172 mi

Multi-Specialty

725 NORTH ST
Pittsfield, MA 01201

Reassigned Medicare billing, Massachusetts enrollment
405 clinicians in this Medicare group

NPI 1548212939 (413) 447-2752

San Juan Regional Medical Center Inc

1,711 mi

Family Medicine

120 LLANO ST
Aztec, NM 87410

Reassigned Medicare billing, New Mexico enrollment
368 clinicians in this Medicare group

NPI 1861467433 (505) 334-3404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

140 services110 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

102 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services75 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services48 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320005

Location801 West Maple StreetFarmington, NM 87401 · San Juan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA ANTONOW

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