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DR. SHANNON L GULLETT M.D.
NPI 1669559118
Psychiatry & Neurology - Psychiatry in Murray, UT

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
5770 S 250 E STE 300, MURRAY, UT 84107(801) 314-2500(801) 314-2501 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shannon L Gullett M.d. NPPES

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

DR. SHANNON L GULLETT M.D. (NPI 1669559118) is an individual psychiatry provider in Murray, Utah, licensed in Utah (60295541205) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cottonwood Heights, and is a graduate of Medical University Of South Carolina College Of Medicine (2004).

NPPES Registry Identity

NPI1669559118
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHANNON L GULLETTCredential: M.D.
Location Address5770 S 250 E STE 300Murray, UT 84107-8100
Mailing Address5770 S 250 E Ste 300Murray, UT 84107-8100 · (801) 314-2500 · Fax (801) 314-2501
Phone(801) 314-2500
Fax(801) 314-2501
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2004
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 15, 2019
✔ NPI 1669559118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 60295541205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5770 S 250 E STE 300, Murray, UT 84107
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Other Names 1

Former Name (1)Dr. Shannon G Blackburn M.d.

Secondary Practice Location 1

Location 11225 E Fort Union Blvd, suite 215Cottonwood Heights, UT 84047-1889 · Phone (801) 233-4200 · Fax (801) 233-4639

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

Dr. Shannon L Gullett M.d. 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 ID9335213255
PECOS Enrollment IDI20080811000211
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 Shannon Gullett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Psychiatry
5770 S 250 E STE 300
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1225269384 (Utah)
  • 3,691 clinicians in this Medicare group
NPI 1649523275 (801) 314-2500

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services17 patients

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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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 11

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

RACHEL JENKINS-LLOYD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
DR. MAC JOSHUA GILBERT PH.D.
Psychologist
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
ALLYSON TAYLOR DNP, APRN, PMHNP
Nurse Practitioner
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
ROBERT B. REYNOLDS DO
Psychiatry & Neurology (Psychiatry)
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
KERRY HAMILL WEEKS APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
KE'ALA MARY CABULAGAN
Social Worker (Clinical)
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
IHC HEALTH SERVICES INC
Clinic/Center (Adult Mental Health)
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500
MARISSA JARRETT DNP
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 250 E STE 300
MURRAY, UT 84107
Salt Lake County (801) 314-2500

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 Shannon Gullett's NPI number?

The NPI number for Shannon Gullett is 1669559118. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Shannon G Blackburn M.D..

Where is Shannon Gullett located?

Shannon Gullett practices at 5770 S 250 E Ste 300, Murray, UT 84107. The listed phone number is (801) 314-2500.

What is Shannon Gullett's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shannon Gullett enrolled in Medicare?

Yes. Shannon Gullett 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 Shannon Gullett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Gullett reassigns Medicare benefits to Ihc Health Services Inc (Murray, UT). 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 Shannon Gullett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Gullett was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.