Individual provider Active NPI

Jeremy R Hunt, CRNP

  • Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1144465600
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R195446 Issued in MD
Practice address
1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone
(240) 964-9300
NPI assigned
Dec 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 92785 WV
Family Nurse Practitioner 363LF0000X RN535363 PA
Family Nurse Practitioner 363LF0000X SP010011 PA
Nurse Practitioner 363L00000X R195446 MD Primary

Addresses

Primary practice location

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331

Mailing address

225 S Center Ave
Somerset, PA 15501-2033
Phone (814) 443-5183

Other practice location 1

225 S Center Ave
Somerset, PA 15501-2033
Phone (814) 443-5183

Other practice location 2

23789 Garrett Hwy
Mc Henry, MD 21541-1338
Phone (240) 964-7000

Other practice location 3

45 Hunt Club Dr
Ridgeley, WV 26753-7567
Phone (304) 726-4501

Other practice location 4

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone (301) 689-3229

Other identifiers 4

IdentifierTypeStateIssuer
SP010011OtherPANURSE PRACTIONER ID#
RN535363OtherPACRNP LICENSE NUMBER
R195446OtherMDCRNP-NURSE PRACTITIONER
92785OtherWVCRNP-NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110812000306 MD Practitioner - Nurse Practitioner 2769651579 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med 1St Walkin Clinic and Primary CareGroup PAC ID 0345625307, 2 clinicians

Practice addresses (Care Compare)

15 S Centre St
Cumberland, MD 21502-3017
Phone (240) 362-7279

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN535363PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med 1St Walkin Clinic and Primary Care CurrentSince Aug 9, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 3, 2023 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 3, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince May 23, 2017 Accepting new patients
Upmc Western Maryland Corporation Nurse Practitioner Current Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1050 W Industrial Blvd
Cumberland, MD 21502
Phone (240) 964-9300

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139

45 Hunt Club Dr
Ridgeley, WV 26753
Phone (304) 726-4501

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1144465600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012033",
            "telephone_number": "814-443-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD STE 17",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-964-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Center Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155012033",
            "country_code": "US",
            "telephone_number": "814-443-5183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23789 Garrett Hwy",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411338",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hunt Club Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537567",
            "country_code": "US",
            "telephone_number": "304-726-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 New Georges Creek Rd SW",
            "address_purpose": "LOCATION",
            "city": "Frostburg",
            "state": "MD",
            "postal_code": "215321457",
            "country_code": "US",
            "telephone_number": "301-689-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JEREMY",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "92785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN535363",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010011",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R195446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER ID#",
            "identifier": "SP010011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE NUMBER",
            "identifier": "RN535363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP-NURSE PRACTITIONER",
            "identifier": "R195446",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP-NURSE PRACTITIONER",
            "identifier": "92785",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.