MR. JEFFREY CHARLES MUNDT NP
NPI 1174669808
Nurse Practitioner - Adult Health in Clinton Township, MI
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Mundt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
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.
Which organization bills Medicare for Jeffrey Mundt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mundt reassigns Medicare benefits to Movement Orthopedics (Clinton Township, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Mundt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 10 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.
# Mr. Jeffrey Charles Mundt, NP · NPI 1174669808
Adult Health physician in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1174669808 (Entity type: Individual)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** A1006121 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 43475 DALCOMA DR STE 160, Clinton Township, MI 48038-3591
- **Phone:** (586) 436-3785
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Movement Orthopedics (NPI 1912365032, Clinton Township, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1174669808) · Data from the CMS NPPES public registry.