JEAN FIDELE MUNEZERO MD
NPI 1972177830
Student in an Organized Health Care Education/Training Program in Monroe, NC

Active since May 16, 2021PECOS EnrolledAccepts Medicare Assignment
1550 FAULK ST STE 2100, MONROE, NC 28112(704) 289-2553 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 16, 2021 (2 updates tracked since 2021).

About Jean Fidele Munezero Md NPPES

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

JEAN FIDELE MUNEZERO MD (NPI 1972177830) is an individual student in an organized health care education/training program in Monroe, North Carolina and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1972177830
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEAN FIDELE MUNEZEROCredential: MD
Location Address1550 FAULK ST STE 2100Monroe, NC 28112-5087
Mailing Address1550 Faulk St Ste 2100Monroe, NC 28112-5087 · (704) 289-2553
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2021
Enumeration DateMay 16, 2021
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1972177830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1550 FAULK ST STE 2100, Monroe, NC 28112

Secondary Practice Location 1

Location 1920 Madison Ave Ste 447Memphis, TN 38103-3438 · Phone (901) 448-4795

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

Jean Fidele Munezero Md 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 ID8729487848
PECOS Enrollment IDI20251209001287
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.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1550 FAULK ST STE 2100
MONROE, NC 28112
Clinic/Center (Federally Qualified Health Center (FQHC))
1550 FAULK ST STE 2100
MONROE, NC 28112

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 Jean Fidele Munezero's NPI number?

The NPI number for Jean Fidele Munezero is 1972177830. It was assigned to this individual provider in the NPPES registry on May 16, 2021.

Where is Jean Fidele Munezero located?

Jean Fidele Munezero practices at 1550 Faulk St Ste 2100, Monroe, NC 28112. The listed phone number is (704) 289-2553.

What is Jean Fidele Munezero's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jean Fidele Munezero enrolled in Medicare?

Yes. Jean Fidele Munezero 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.

Is Jean Fidele Munezero affiliated with any hospitals?

According to CMS data, Jean Fidele Munezero is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Jean Fidele Munezero was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.