MONTANA WYNN GUBRUD PA-S
NPI 1609404409
Physician Assistant in Murray, UT

Active since March 29, 2020PECOS Enrolled
5911 S FASHION BLVD STE 200, MURRAY, UT 84107(385) 525-3270 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, May 15, 2026, May 12, 2025 and 2 more (5 updates tracked since 2020).

About Montana Wynn Gubrud Pa-s NPPES

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

MONTANA WYNN GUBRUD PA-S (NPI 1609404409) is an individual physician assistant in Murray, Utah, licensed in Utah (14289197-1206) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609404409
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMONTANA WYNN GUBRUDCredential: PA-S
Location Address5911 S FASHION BLVD STE 200Murray, UT 84107-7210
Mailing Address5911 S Fashion Blvd Ste 200Murray, UT 84107-7210 · (385) 525-3270
Sole ProprietorYes
Enumeration DateMarch 29, 2020
Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1609404409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14289197-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5911 S FASHION BLVD STE 200, Murray, UT 84107

Accepted 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)

Montana Wynn Gubrud Pa-s 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 84107 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
$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 6

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

Physical Medicine & Rehabilitation
5911 S FASHION BLVD STE 200
MURRAY, UT 84107
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5911 S FASHION BLVD STE 200
MURRAY, UT 84107
Physical Medicine & Rehabilitation
5911 S FASHION BLVD STE 200
MURRAY, UT 84107
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5911 S FASHION BLVD STE 200
MURRAY, UT 84107
Orthopaedic Surgery
5911 S FASHION BLVD STE 200
MURRAY, UT 84107
Physical Medicine & Rehabilitation
5911 S FASHION BLVD STE 200
MURRAY, UT 84107

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 Montana Gubrud's NPI number?

The NPI number for Montana Gubrud is 1609404409. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Montana Gubrud located?

Montana Gubrud practices at 5911 S Fashion Blvd Ste 200, Murray, UT 84107. The listed phone number is (385) 525-3270.

What is Montana Gubrud's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Montana Gubrud enrolled in Medicare?

Yes. Montana Gubrud is registered in the Medicare PECOS enrollment system.

What insurance does Montana Gubrud accept?

Health plans from Select Health and University of Utah Health Plans list Montana Gubrud as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montana Gubrud was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.