Active NPI
Jill Anderson Muntz, FNP
- Family Nurse Practitioner
- Jamestown, NY
National Provider Identifier
1407864267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 332418
- Practice address
- 350 E 2ND St
Jamestown, NY 14701-5623 - Phone
- (716) 483-4373
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011923 | PA | |
| Family Nurse Practitioner | 363LF0000X | 332418 | NY | Primary |
Addresses
Primary practice location
350 E 2ND St
Jamestown, NY 14701-5623
Mailing address
197 Martin Rd
Jamestown, NY 14701-9224
Phone (716) 483-4376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chautauqua County Chapter of Nysarc Inc. | Current | Accepting new patients | |
| Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center | Current | Accepting new patients | |
| Chautauqua County Chapter of Nysarc Inc | Current | Accepting new patients | |
| Chautauqua County Chapter of Nysarc Inc | Current | Accepting new patients | |
| Akl Medical PC | Past | Accepting new patients | |
| Medicor Associates, Inc. | Past | Accepting new patients | |
| Jamestown City School District | Past | Accepting new patients | |
| Skyline Emergency Physicians, LLC | Past | Accepting new patients |
Locations
350 E 2nd St
Jamestown, NY 14701
Phone (716) 483-3470
200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400
890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447
Interoperability endpoints
- jillmuntz@trc.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Jamestown, NY
- NPI 1770972036
-
- Multi-Specialty Clinic/Center
- Jamestown, NY
- NPI 1982682639
-
- Long Term Care Pharmacy
- Jamestown, NY
- NPI 1427095892
-
- Adult Mental Health Clinic/Center
- Dunkirk, NY
- NPI 1912061789
-
- Allergy & Immunology Physician
- Olean, NY
- NPI 1801447388
-
- Local Education Agency (LEA)
- Jamestown, NY
- NPI 1528115615
-
- Interventional Cardiology Physician
- Erie, PA
- NPI 1215931266
-
- Emergency Medicine Physician
- Culpeper, VA
- NPI 1669428033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1407864267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 MARTIN RD",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147019224",
"telephone_number": "716-483-4376",
"fax_number": "716-483-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E 2ND ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147015623",
"telephone_number": "716-483-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNTZ",
"first_name": "JILL",
"middle_name": "ANDERSON",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011923",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "332418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.