JACQUELINE MINTZ ARNP-FNP
NPI 1124258967
Nurse Practitioner - Family in Shaw Afb, SC
About Jacqueline Mintz Arnp-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MINTZ ARNP-FNP (NPI 1124258967) is an individual family provider in Shaw Afb, South Carolina, licensed in Georgia (RN213453) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
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
Jacqueline Mintz Arnp-fnp 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jacqueline Mintz's NPI number?
The NPI number for Jacqueline Mintz is 1124258967. It was assigned to this individual provider in the NPPES registry on July 14, 2009.
Where is Jacqueline Mintz located?
Jacqueline Mintz practices at 524 Nelson Ave, Shaw Afb, SC 29152. The listed phone number is (706) 495-6612.
What is Jacqueline Mintz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Mintz enrolled in Medicare?
Yes. Jacqueline Mintz 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.
When was this NPI record last updated?
The NPPES record for Jacqueline Mintz was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jacqueline Mintz, ARNP-FNP · NPI 1124258967
Family physician in Shaw Afb, South Carolina. Individual provider, active in the CMS NPPES registry since July 14, 2009.
## Identity
- **NPI:** 1124258967 (Entity type: Individual)
- **Enumerated:** July 14, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN213453 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 524 NELSON AVE, Shaw Afb, SC 29152
- **Phone:** (706) 495-6612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** December 21, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1124258967) · Data from the CMS NPPES public registry.