SHAWNEE RENEE FUDURICH FNP-C
NPI 1861057507
Nurse Practitioner - Family in Peoria, AZ

Active since May 08, 2019PECOS EnrolledAccepts Medicare Assignment
10230 W HAPPY VALLEY PKWY STE 100, PEORIA, AZ 85383(623) 561-3030 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shawnee Renee Fudurich Fnp-c NPPES

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

SHAWNEE RENEE FUDURICH FNP-C (NPI 1861057507) is an individual family provider in Peoria, Arizona, licensed in Arizona (224194) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861057507
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWNEE RENEE FUDURICHCredential: FNP-C
Location Address10230 W HAPPY VALLEY PKWY STE 100Peoria, AZ 85383-4255
Mailing Address28508 N 66th LnPhoenix, AZ 85083-7599 · (623) 670-4324
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 8, 2019
NPI 1861057507 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 AZ · 224194
10230 W HAPPY VALLEY PKWY STE 100, Peoria, AZ 85383

Other Names 1

Former Name (1)Shawnee Renee Brunnemer

Accepted Insurance

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

Shawnee Renee Fudurich 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.

PECOS PAC ID446580674
PECOS Enrollment IDI20191001001138
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.

Areas of Expertise CMS Part B claims 7

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.
168 services109 patients
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.
165 services110 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.
42 services36 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.
33 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
10230 W HAPPY VALLEY PKWY STE 100
PEORIA, AZ 85383
Internal Medicine
10230 W HAPPY VALLEY PKWY STE 100
PEORIA, AZ 85383
Family Medicine
10230 W HAPPY VALLEY PKWY STE 100
PEORIA, AZ 85383
Internal Medicine
10230 W HAPPY VALLEY PKWY STE 100
PEORIA, AZ 85383

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 Shawnee Fudurich's NPI number?

The NPI number for Shawnee Fudurich is 1861057507. It was assigned to this individual provider in the NPPES registry on May 8, 2019. The provider is also known as Shawnee Renee Brunnemer.

Where is Shawnee Fudurich located?

Shawnee Fudurich practices at 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383. The listed phone number is (623) 561-3030.

What is Shawnee Fudurich's specialty?

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

Is Shawnee Fudurich enrolled in Medicare?

Yes. Shawnee Fudurich 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.

What insurance does Shawnee Fudurich accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Shawnee Fudurich 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 Shawnee Fudurich was last updated on May 8, 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.