Jennifer Mundy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209007079 Issued in IL

Practice address

1770 E Lake Shore Dr
Suite 207
Decatur, IL 62521-3831

Phone

(217) 429-9700

Fax

(217) 429-9702

NPI assigned

Apr 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ross-Barnett Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toofan Medical Holdings, LTDGroup PAC ID 6800026006, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Toofan Medical Holdings, LTD.

  • Urgent Care Clinic/Center
  • Effingham, IL
  • NPI 1396179693
  Medicare reassignment Care Compare group NPD
• Toofan Medical Holdings, LTD

  • Urgent Care Clinic/Center
  • Mattoon, IL
  • NPI 1396578092
  NPD
• St Marys Hospital Decatur of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1326041229
  NPD (past)

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1265675490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR",
            "address_2": "SUITE 207",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213831",
            "telephone_number": "217-429-9700",
            "fax_number": "217-429-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR",
            "address_2": "SUITE 207",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213831",
            "telephone_number": "217-429-9700",
            "fax_number": "217-429-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrossbarnett157819@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1770 E Lake Shore Dr",
            "address_2": "Suite 207",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSS-BARNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Mueller
• Pamela Mueller, P.T.A.
• Mohammed Z Mughal, MD
• Kimberly A Mullins, LPN
• Tammy Kay Munch, PA-C
• Matthew Munjoy, ATC
• Bradley Robert Munos, ATC, MS, LAT
• Gabriel Munoz, M.D.
• Jabari E Munroe, MD
• Taylor Irene Murillo, PT, DPT

• Family Nurse Practitioner in Decatur, IL
• Providers in Decatur, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.