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MRS. RACHEL GUNDERSON AGACNP-BC
NPI 1760871263
Nurse Practitioner in Provo, UT

Active since January 21, 2015PECOS Enrolled
3661 N CANYON RD STE F, PROVO, UT 84604(801) 808-6122 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2022, Jun 7, 2022, Nov 5, 2021 and 1 more (4 updates tracked since 2021).

About Mrs. Rachel Gunderson Agacnp-bc NPPES

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

MRS. RACHEL GUNDERSON AGACNP-BC (NPI 1760871263) is an individual nurse practitioner in Provo, Utah, licensed in Utah (6212250-4405) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1760871263
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. RACHEL GUNDERSONCredential: AGACNP-BC
Location Address3661 N CANYON RD STE FProvo, UT 84604-4536
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 808-6122
Sole ProprietorNo
Enumeration DateJanuary 21, 2015
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1760871263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 6212250-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 6212250-4405 (UT), AP124559 (TX)
3661 N CANYON RD STE F, Provo, UT 84604
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Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3380 · Phone (801) 357-8310 · Fax (801) 357-3854

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rachel Gunderson Agacnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Rachel Gunderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.7 mi
Internal Medicine
380 W 1230 N, STE 602
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1578079059 (801) 442-1853

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Rachel Gunderson's NPI number?

The NPI number for Rachel Gunderson is 1760871263. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Where is Rachel Gunderson located?

Rachel Gunderson practices at 3661 N Canyon Rd Ste F, Provo, UT 84604. The listed phone number is (801) 808-6122.

What is Rachel Gunderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Gunderson enrolled in Medicare?

Yes. Rachel Gunderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Gunderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Gunderson reassigns Medicare benefits to Ihc Health Services Inc (Provo, 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 Rachel Gunderson'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 Rachel Gunderson was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.