GRADY SHUMWAY
NPI 1407242399
Social Worker - Clinical in Blanding, UT

Q: What is Grady Shumway's NPI number?

The NPI number for Grady Shumway is 1407242399. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Grady Shumway's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Grady Shumway was last updated on May 11, 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.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

735 S 200 W STE 1, BLANDING, UT 84511(435) 678-2992(435) 678-3116 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Grady Shumway NPPES

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

GRADY SHUMWAY (NPI 1407242399) is an individual clinical provider in Blanding, Utah and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407242399

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameGRADY SHUMWAY

Location Address735 S 200 W STE 1Blanding, UT 84511-3923

Mailing Address735 S 200 W Ste 1Blanding, UT 84511-3923 · (435) 678-2992 · Fax (435) 678-3116

Phone(435) 678-2992

Fax(435) 678-3116

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 8, 2015

Last NPPES UpdateMay 11, 2021

NPPES CertifiedMay 11, 2021

✔ NPI 1407242399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedTechnician, OtherTaxonomy 247200000X

735 S 200 W STE 1, Blanding, UT 84511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

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

Grady Shumway 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 ID5991155368

PECOS Enrollment IDI20231227001796

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 Grady Shumway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Juan Mental Health-Substance Abuse Special Service District

0.4 mi

Mental Health (Including Community Mental Health Center)

356 S MAIN ST
Blanding, UT 84511

Reassigned Medicare billing, Utah enrollment
7 clinicians in this Medicare group

NPI 1356353692 (435) 678-2992

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84511 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

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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 20

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

WANDALYN FAYE BORNEMANN

Case Manager/Care Coordinator