Individual provider Active NPI

Takara Leeann Muncy

  • Family Nurse Practitioner
  • Chapmanville, WV
National Provider Identifier
1114671906
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112055 Issued in WV
Practice address
9 Commerce Park Circle
Chapmanville, WV 25508-9495
Phone
(304) 688-8961
Fax
(304) 936-6569
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112055 WV Primary

Addresses

Primary practice location

9 Commerce Park Circle
Chapmanville, WV 25508-9495

Mailing address

258 Gentle Breeze Dr
Chapmanville, WV 25508-9495
Phone (304) 688-8961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220519002415 WV Practitioner - Nurse Practitioner 2567849128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

258 Gentle Breeze Dr
Chapmanville, WV 25508-9495
Phone (304) 688-8961

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
80.8
Improvement activities
40
Cost
81.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112055WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muncy Medical LLC Family CurrentSince Feb 24, 2026 Accepting new patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1114671906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GENTLE BREEZE DR",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089495",
            "telephone_number": "304-688-8961",
            "fax_number": "304-936-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COMMERCE PARK CIRCLE",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089495",
            "telephone_number": "304-688-8961",
            "fax_number": "304-936-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCY",
        "first_name": "TAKARA",
        "middle_name": "LEEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "112055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.