Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIFER SHULER DERAMO MD
NPI 1063717551
Pediatrics in Park City, UT

Q: What is Jennifer Deramo's NPI number?

The NPI number for Jennifer Deramo is 1063717551. It was assigned to this individual provider in the NPPES registry on January 14, 2011. The provider is also known as Dr. Jennifer Lynn Shuler MD.

Q: What is Jennifer Deramo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Deramo was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 14, 2011PECOS Enrolled

1441 UTE BLVD STE 220, PARK CITY, UT 84098(866) 415-6556 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2026, Sep 17, 2016, Jun 23, 2016 (3 updates tracked since 2016).

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About Dr. Jennifer Shuler Deramo Md NPPES

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

DR. JENNIFER SHULER DERAMO MD (NPI 1063717551) is an individual pediatrics provider in Park City, Utah, licensed in Utah (12377696-1205) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1063717551

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JENNIFER SHULER DERAMOCredential: MD

Location Address1441 UTE BLVD STE 220Park City, UT 84098-7636

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(866) 415-6556

Sole ProprietorNo

Enumeration DateJanuary 14, 2011

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1063717551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 12377696-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License Q5996 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1441 UTE BLVD STE 220, Park City, UT 84098

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Other Names 1

Former Name (1)Dr. Jennifer Lynn Shuler Md

Secondary Practice Location 1

Location 15323 Harry Hines BoulevardDallas, TX 75390-7208 · Phone (214) 456-7000 · Fax (214) 456-8132

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Dr. Jennifer Shuler Deramo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84098 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 5

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

EILEEN GALLAGHER MD

Pediatrics