Jeanine Dunmore, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013037 Issued in PA

Practice address

301 E City Ave
Suite 100
Bala Cynwyd, PA 19004-1708

Phone

(610) 617-1300

Fax

(610) 617-0199

NPI assigned

Jul 8, 2013

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beppu

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1487128674
  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  DE

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1033550991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-617-1300",
            "fax_number": "610-617-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-617-1300",
            "fax_number": "610-617-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMORE",
        "first_name": "JEANINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN547871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Dreyfus, PSY.D.
• Eldad Meir Drori, DMD
• Tod H Drucker, D.M.D.
• Rachel Dumont, OTR/L
• Joan Dunleavy
• Victoria Fryzel Dunn, DPT
• Larry Durlofsky, D.O.
• Dynamic Heart Care, LLC
• Kristina Ebbecke, MS,OTR/L
• Faye Eggear

• Family Nurse Practitioner in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.