Individual provider Active NPI

Presley Sue Hunsaker, FNP

  • Primary Care Nurse Practitioner
  • Provo, UT
National Provider Identifier
1306686522
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
12054523-4405 Issued in UT
Practice address
1450 W 820 N
Provo, UT 84601-1305
Phone
(480) 577-8375
NPI assigned
May 27, 2024
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 12054523-4405 UT Primary

Addresses

Primary practice location

1450 W 820 N
Provo, UT 84601-1305

Mailing address

153 N 400 W Ste B6
Orem, UT 84057-1909
Phone (480) 577-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002707 UT Practitioner - Nurse Practitioner 4789116047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandc Johnston LLCGroup PAC ID 5799107025, 5 clinicians

Practice addresses (Care Compare)

153 N 400
Orem, UT 84057-1909
Phone (801) 921-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A&C Johnston LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

153 N 400 W
Orem, UT 84057
Phone (801) 921-2260

153 N 400 W
#B6
Orem, UT 84057
Phone (801) 921-2260

153 N 400 W
Ste B6
Orem, UT 84057
Phone (801) 878-9321

895 W Center St
Orem, UT 84057
Phone (801) 221-1220

Interoperability endpoints

  • Direct secure messaging: healthandvitality.presleyhunsaker@144246.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1306686522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N 400 W STE B6",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "480-577-8375",
            "fax_number": "855-566-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W 820 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011305",
            "telephone_number": "480-577-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "PRESLEY",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "12054523-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.