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Shaune Bullock, FNP

NPI 1841802634ActiveIndividual· Nurse Practitioner, Family· Sandy, UT

Nurse Practitioner, Family (FNP) in Sandy, Utah, licensed in UT, with an NPI issued in August 2020. Part D covered 138 prescriptions written in 2024, 93% of them generic.

Overview

NPI1841802634
StatusActive
Entity typeIndividual
CredentialFNP
Sole proprietorNo
NPI issuedAug 21, 2020
Last updated in NPPESNov 18, 2025
Certified by providerNov 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X201825-4405UT
Nurse Practitioner, Family363LF0000X201825-8900UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)138 · 373 30-day fills
Patients32
Total drug cost$7,796
Generic share93% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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