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SHAUN VERNON ODELL M.D.
NPI 1366686545
Pediatrics - Neonatal-Perinatal Medicine in Provo, UT

Active since May 01, 2009PECOS Enrolled

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2021, May 24, 2017 (2 updates tracked since 2017).

About Shaun Vernon Odell M.d. NPPES

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

SHAUN VERNON ODELL M.D. (NPI 1366686545) is an individual neonatal-perinatal medicine provider in Provo, Utah, licensed in Utah (9394929-1205) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366686545
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameSHAUN VERNON ODELLCredential: M.D.
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901 · (206) 987-2675 · Fax (206) 987-2685
Phone(801) 442-3059
Sole ProprietorNo
Enumeration DateMay 1, 2009
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1366686545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in UT · 9394929-1205
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaun Vernon Odell M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Shaun Odell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Pediatric Critical Care Medicine
1034 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1174039614 (801) 357-3809

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

Other Providers at the Same Location NPPES 20

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

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Shaun Odell's NPI number?

The NPI number for Shaun Odell is 1366686545. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Shaun Odell located?

Shaun Odell practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 442-3059.

What is Shaun Odell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shaun Odell enrolled in Medicare?

Yes. Shaun Odell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaun Odell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Odell reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaun Odell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shaun Odell was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.