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MR. JEFFREY CHARLES MUNDT NP
NPI 1174669808
Nurse Practitioner - Adult Health in Clinton Township, MI

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
43475 DALCOMA DR STE 160, CLINTON TOWNSHIP, MI 48038(586) 436-3785 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeffrey Charles Mundt Np NPPES

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

MR. JEFFREY CHARLES MUNDT NP (NPI 1174669808) is an individual adult health provider in Clinton Township, Michigan, licensed in Michigan (A1006121) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174669808
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JEFFREY CHARLES MUNDTCredential: NP
Location Address43475 DALCOMA DR STE 160Clinton Township, MI 48038-3591
Mailing Address43475 Dalcoma DrClinton Township, MI 48038-3591 · (586) 436-3785
Phone(586) 436-3785
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 29, 2007
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1174669808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · A1006121
43475 DALCOMA DR STE 160, Clinton Township, MI 48038
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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

Mr. Jeffrey Charles Mundt Np 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 ID2769634740
PECOS Enrollment IDI20121221000155
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 3

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

KYLE EDWARD ANTOSIEK D.O.
Internal Medicine (Gastroenterology)
43475 DALCOMA DR STE 160
CLINTON TOWNSHIP, MI 48038
Macomb County (248) 221-1845
MOHANAD SUEDE MD
Internal Medicine (Gastroenterology)
43475 DALCOMA DR STE 160
CLINTON TOWNSHIP, MI 48038
Macomb County (248) 221-1845
SCOPE MEDICAL GROUP PLLC
Internal Medicine (Gastroenterology)
43475 DALCOMA DR STE 160
CLINTON TOWNSHIP, MI 48038
Macomb County (248) 221-1845

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 Jeffrey Mundt's NPI number?

The NPI number for Jeffrey Mundt is 1174669808. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Jeffrey Mundt located?

Jeffrey Mundt practices at 43475 Dalcoma Dr Ste 160, Clinton Township, MI 48038. The listed phone number is (586) 436-3785.

What is Jeffrey Mundt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeffrey Mundt enrolled in Medicare?

Yes. Jeffrey Mundt 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 Jeffrey Mundt was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.