KAMILLA GUNDERSEN NP
NPI 1649756404
Nurse Practitioner - Family in Pocatello, ID
About Kamilla Gundersen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAMILLA GUNDERSEN NP (NPI 1649756404) is an individual family provider in Pocatello, Idaho, licensed in Idaho (58907) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Kamilla Gundersen Np 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Portneuf Medical Center
Acute Care Hospitals · Pocatello, IDIdaho Falls Community Hospital, LLC
Acute Care Hospitals · Idaho Falls, IDFrequently 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 Kamilla Gundersen's NPI number?
The NPI number for Kamilla Gundersen is 1649756404. It was assigned to this individual provider in the NPPES registry on July 16, 2018.
Where is Kamilla Gundersen located?
Kamilla Gundersen practices at 777 Hospital Way, Pocatello, ID 83207. The listed phone number is (208) 220-3222.
What is Kamilla Gundersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kamilla Gundersen enrolled in Medicare?
Yes. Kamilla Gundersen 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.
Is Kamilla Gundersen affiliated with any hospitals?
According to CMS data, Kamilla Gundersen is affiliated with Portneuf Medical Center and Idaho Falls Community Hospital, LLC.
When was this NPI record last updated?
The NPPES record for Kamilla Gundersen was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kamilla Gundersen, NP · NPI 1649756404
Family physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since July 16, 2018.
## Identity
- **NPI:** 1649756404 (Entity type: Individual)
- **Enumerated:** July 16, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 58907 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HOSPITAL WAY, Pocatello, ID 83207
- **Phone:** (208) 220-3222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 16, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1649756404) · Data from the CMS NPPES public registry.