JEFF L. MUNDERLOH PA-C
NPI 1548215619
Physician Assistant - Medical in Pender, NE

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
958 WELLNESS WAY STE 1, PENDER, NE 68047(402) 385-3033(402) 385-3092 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2020, Jul 31, 2019, Sep 17, 2018 and 1 more (4 updates tracked since 2017).

About Jeff L. Munderloh Pa-c NPPES

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

JEFF L. MUNDERLOH PA-C (NPI 1548215619) is an individual medical provider in Pender, Nebraska, licensed in Nebraska (811) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Pender Community Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1548215619
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEFF L. MUNDERLOHCredential: PA-C
Location Address958 WELLNESS WAY STE 1Pender, NE 68047-4518
Mailing AddressPo Box 100Pender, NE 68047-0100 · (402) 385-4004 · Fax (402) 385-4041
Fax(402) 385-3092
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 5, 20204 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
NPI 1548215619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NE · 811
958 WELLNESS WAY STE 1, Pender, NE 68047

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

Jeff L. Munderloh Pa-c 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 ID3375607369
PECOS Enrollment IDI20090206000205
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.

Hospital Affiliations CMS Care Compare

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

Pender Community Hospital

Critical Access Hospitals · Pender, NE
OwnershipGovernment - Local
CMS Certification Number281349
Location100 Hospital Drive, PO Box 100Pender, NE 68047 · Thurston County
Emergency services

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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims32 services$6.60 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers18 claims18 services$15.67 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers40 claims40 services$40.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Medical)
958 WELLNESS WAY STE 1
PENDER, NE 68047
Nurse Practitioner (Family)
958 WELLNESS WAY STE 1
PENDER, NE 68047
Family Medicine
958 WELLNESS WAY STE 1
PENDER, NE 68047
Family Medicine
958 WELLNESS WAY STE 1
PENDER, NE 68047
Family Medicine
958 WELLNESS WAY STE 1
PENDER, NE 68047
Family Medicine
958 WELLNESS WAY STE 1
PENDER, NE 68047
Physician Assistant (Medical)
958 WELLNESS WAY STE 1
PENDER, NE 68047
Family Medicine
958 WELLNESS WAY STE 1
PENDER, NE 68047

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 Jeff Munderloh's NPI number?

The NPI number for Jeff Munderloh is 1548215619. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Jeff Munderloh located?

Jeff Munderloh practices at 958 Wellness Way Ste 1, Pender, NE 68047. The listed phone number is (402) 385-3033.

What is Jeff Munderloh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeff Munderloh enrolled in Medicare?

Yes. Jeff Munderloh 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.

What insurance does Jeff Munderloh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Jeff Munderloh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeff Munderloh affiliated with any hospitals?

According to CMS data, Jeff Munderloh is affiliated with Pender Community Hospital.

When was this NPI record last updated?

The NPPES record for Jeff Munderloh was last updated on May 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.