1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Nurse Practitioner
  6. NPI Profile

TEGAN GRUNWALD
NPI 1386441996
Nurse Practitioner - Family in Salt Lake City, UT

Active since March 01, 2025PECOS EnrolledAccepts Medicare Assignment
3115 E LION LN STE 160, SALT LAKE CITY, UT 84121(855) 255-1750(855) 255-0905 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Mar 31, 2025, Mar 1, 2025 (3 updates tracked since 2025).

About Tegan Grunwald NPPES

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

TEGAN GRUNWALD (NPI 1386441996) is an individual family provider in Salt Lake City, Utah, licensed in Utah (12627832-4405) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386441996
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTEGAN GRUNWALD
Location Address3115 E LION LN STE 160Salt Lake City, UT 84121
Mailing Address2177 S Nowell CirSalt Lake City, UT 84115-2869 · (541) 760-0032
Phone(855) 255-1750
Fax(855) 255-0905
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 1, 2025
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1386441996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 12627832-4405
3115 E LION LN STE 160, Salt Lake City, UT 84121
Open in Google Maps ↗

Secondary Practice Location 1

Location 12177 S Nowell CirSalt Lake City, UT 84115-2869 · Phone (541) 760-0032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tegan Grunwald 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 ID8820515828
PECOS Enrollment IDI20250502002203
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 84121 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 3

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

ISABELA ROSE LETE PA-S
Physician Assistant
3115 E LION LN STE 160
SALT LAKE CITY, UT 84121
Salt Lake County (855) 255-1750
HOLLIE CARTER FNP-BC
Nurse Practitioner (Family)
3115 E LION LN STE 160
SALT LAKE CITY, UT 84121
Salt Lake County (855) 255-1750
PAUL CURTIS GOFF APRN
Nurse Practitioner
3115 E LION LN STE 160
SALT LAKE CITY, UT 84121
Salt Lake County (855) 255-1750

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 Tegan Grunwald's NPI number?

The NPI number for Tegan Grunwald is 1386441996. It was assigned to this individual provider in the NPPES registry on March 1, 2025.

Where is Tegan Grunwald located?

Tegan Grunwald practices at 3115 E Lion Ln Ste 160, Salt Lake City, UT 84121. The listed phone number is (855) 255-1750.

What is Tegan Grunwald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tegan Grunwald enrolled in Medicare?

Yes. Tegan Grunwald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tegan Grunwald was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.