KENNETH JAMES GUNDERSON FNP-C
NPI 1659149086
Nurse Practitioner - Family in Idaho Falls, ID
About Kenneth James Gunderson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH JAMES GUNDERSON FNP-C (NPI 1659149086) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (F12230320) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Kenneth James Gunderson Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Gunderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern Idaho Regional Medical Center
Acute Care Hospitals · Idaho Falls, IDMountain View Hospital
Acute Care Hospitals · Idaho Falls, IDSt Johns Medical Center
Acute Care Hospitals · Jackson, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kenneth Gunderson's NPI number?
The NPI number for Kenneth Gunderson is 1659149086. It was assigned to this individual provider in the NPPES registry on December 14, 2023.
Where is Kenneth Gunderson located?
Kenneth Gunderson practices at 1950 Saint Clair Rd, Idaho Falls, ID 83404. The listed phone number is (208) 569-8249.
What is Kenneth Gunderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kenneth Gunderson enrolled in Medicare?
Yes. Kenneth Gunderson 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.
Which organization bills Medicare for Kenneth Gunderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Gunderson reassigns Medicare benefits to Utah Regional Hospitalists LLC (Idaho Falls, ID). 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 Kenneth Gunderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Gunderson affiliated with any hospitals?
According to CMS data, Kenneth Gunderson is affiliated with Eastern Idaho Regional Medical Center, Mountain View Hospital and St Johns Medical Center.
When was this NPI record last updated?
The NPPES record for Kenneth Gunderson was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kenneth James Gunderson, FNP-C · NPI 1659149086
Family physician in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since December 14, 2023.
## Identity
- **NPI:** 1659149086 (Entity type: Individual)
- **Enumerated:** December 14, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F12230320 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1950 SAINT CLAIR RD, Idaho Falls, ID 83404-6306
- **Phone:** (208) 569-8249
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Utah Regional Hospitalists LLC (NPI 1740715507, Idaho Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659149086) · Data from the CMS NPPES public registry.