TAKARA LEEANN MUNCY
NPI 1114671906
Nurse Practitioner - Family in Logan, WV

Active since February 09, 2022PECOS EnrolledAccepts Medicare Assignment
99.28/100
CMS Quality Rating
174 LMAH CENTER RD, LOGAN, WV 25601(304) 792-7130(304) 792-7146 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Takara Leeann Muncy NPPES

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

TAKARA LEEANN MUNCY (NPI 1114671906) is an individual family provider in Logan, West Virginia, licensed in West Virginia (112055) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Logan Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114671906
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAKARA LEEANN MUNCY
Location Address174 LMAH CENTER RDLogan, WV 25601-4058
Mailing Address174 Lmah Center RdLogan, WV 25601-4058 · (304) 792-7130 · Fax (304) 792-7146
Fax(304) 792-7146
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 9, 2022
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1114671906 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 WV · 112055
174 LMAH CENTER RD, Logan, WV 25601

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

Takara Leeann Muncy 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 ID2567849128
PECOS Enrollment IDI20220519002415
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25601 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.4
Improvement Activities40
Cost81.08

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Developmental Disabilities)
174 LMAH CENTER RD
LOGAN, WV 25601
Clinic/Center (Mental Health (Including Community Mental Health Center))
174 LMAH CENTER RD
LOGAN, WV 25601
Community/Behavioral Health
174 LMAH CENTER RD
LOGAN, WV 25601
Clinic/Center (Mental Health (Including Community Mental Health Center))
174 LMAH CENTER RD
LOGAN, WV 25601
Clinic/Center (Health Service)
174 LMAH CENTER RD
LOGAN, WV 25601
Clinic/Center (Federally Qualified Health Center (FQHC))
174 LMAH CENTER RD
LOGAN, WV 25601
Social Worker
174 LMAH CENTER RD
LOGAN, WV 25601
Case Manager/Care Coordinator
174 LMAH CENTER RD
LOGAN, WV 25601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114671906, enumerated as an "individual" on February 09, 2022.

The provider is located at 174 LMAH CENTER RD LOGAN, WV 25601 and the phone number is (304) 792-7130.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Takara Muncy is affiliated with: LOGAN REGIONAL MEDICAL CENTER.