Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth James Gunderson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1659149086

Kenneth James Gunderson, FNP-C is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2023, 3 years ago. Practices with Utah Regional Hospitalists LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1950 Saint Clair Rd
Idaho Falls, ID 83404-6306
Phone: (208) 569-8249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F12230320 (ID)

Record details

NPI number1659149086
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 14, 2023
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Utah Regional Hospitalists Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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