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JAMIE GUDMUNSON
NPI 1669853719
Nurse Practitioner - Family in Saint Anthony, ID

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
30 W MAIN ST, SAINT ANTHONY, ID 83445(208) 624-2969 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jamie Gudmunson NPPES

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

JAMIE GUDMUNSON (NPI 1669853719) is an individual family provider in Saint Anthony, Idaho, licensed in Idaho (NP-1574A) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669853719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAMIE GUDMUNSON
Location Address30 W MAIN STSaint Anthony, ID 83445-2113
Mailing Address30 W Main StSaint Anthony, ID 83445-2113 · (208) 624-2969
Phone(208) 624-2969
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateJanuary 2, 2023
NPPES CertifiedJanuary 2, 2023
✔ NPI 1669853719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP-1574A
30 W MAIN ST, Saint Anthony, ID 83445
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.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

Jamie Gudmunson 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 ID3971816448
PECOS Enrollment IDI20150714000351
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 Reassignments

7

Medicare enrollment records show Jamie Gudmunson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fremont Medical Center, PLLC
Same address
Clinic/Center
30 W MAIN ST
Saint Anthony, ID 83445
  • Reassigned Medicare billing, Idaho enrollment
NPI 1043931637 (208) 624-2969
Teton Medical Group PLLC
10 mi
Family Medicine
255 N 3RD E
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1154502615 (208) 356-7585
Upper Valley Family Practice, PLLC
11 mi
Family Medicine
32 W 1ST S
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group
NPI 1922237874 (208) 356-8883
Ashton Memorial, Inc.
14 mi
Health Service
23 S. 8TH
Ashton, ID 83420
  • Reassigned Medicare billing, Idaho enrollment
  • 10 clinicians in this Medicare group
NPI 1588991566 (208) 652-3396
Mountain View Hospital LLC
37 mi
General Acute Care Hospital
2325 CORONADO ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
NPI 1669462362 (208) 557-2700
Community Care West Side LLC
38 mi
Family Medicine
765 S UTAH AVE
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
  • 38 clinicians in this Medicare group
NPI 1295009785 (208) 525-2600
Cc Pocatello LLC
83 mi
Family Medicine
1595 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 31 clinicians in this Medicare group
NPI 1538517156 (208) 233-0032

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 4

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83445 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$3.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

FREMONT MEDICAL CENTER, PLLC
Clinic/Center
30 W MAIN ST
SAINT ANTHONY, ID 83445
Fremont County (208) 624-2969
FREMONT FAMILY MEDICINE PC
Clinic/Center (Primary Care)
30 W MAIN ST
SAINT ANTHONY, ID 83445
Fremont County (208) 680-2716
TETON VIEW COUNSELING
Social Worker (Clinical)
30 W MAIN ST
SAINT ANTHONY, ID 83445
Fremont County (208) 569-3223

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 Jamie Gudmunson's NPI number?

The NPI number for Jamie Gudmunson is 1669853719. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Jamie Gudmunson located?

Jamie Gudmunson practices at 30 W Main St, Saint Anthony, ID 83445. The listed phone number is (208) 624-2969.

What is Jamie Gudmunson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jamie Gudmunson enrolled in Medicare?

Yes. Jamie Gudmunson 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 organizations bill Medicare for Jamie Gudmunson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Gudmunson reassigns Medicare benefits to 7 organizations: Fremont Medical Center, PLLC (Saint Anthony, ID), Teton Medical Group PLLC (Rexburg, ID), Upper Valley Family Practice, PLLC (Rexburg, ID), Ashton Memorial, Inc. (Ashton, ID), Mountain View Hospital LLC (Idaho Falls, ID) and 2 more organizations, listed in the Medicare section above. Each 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 Jamie Gudmunson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Gudmunson accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Jamie Gudmunson 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 Jamie Gudmunson was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.