Individual provider Active NPI

Jerre M. Mount, PA-C

  • Medical Physician Assistant
  • Alliance, NE
National Provider Identifier
1467444786
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
606 Issued in NE
Practice address
2091 Box Butte Avenue
Suite 700
Alliance, NE 69301-4413
Phone
(308) 762-7244
Fax
(308) 762-6657
NPI assigned
Aug 22, 2005
Last updated
Mar 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 606 NE Primary

Addresses

Primary practice location

2091 Box Butte Avenue
Suite 700
Alliance, NE 69301-4413

Mailing address

2091 Box Butte Avenue
Suite 700
Alliance, NE 69301-4413
Phone (308) 762-7244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20080206000591 NE Practitioner - Physician Assistant 0648353144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Box Butte General HospitalGroup PAC ID 9638089584, 60 clinicians

Practice addresses (Care Compare)

2091 Box Butte Ave
Suite 700
Alliance, NE 69301-4458
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
606NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2008 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2008 Accepting new patients
Alliance Children's & Allied Health, Inc. Past Accepting new patients
Alliance Family Medicine LLC Past Accepting new patients

Locations

2091 Box Butte Ave
Ste 200
Alliance, NE 69301
Phone (308) 762-4300

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

Interoperability endpoints

  • Direct secure messaging: jmount@bbgh.securechart.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1467444786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 BOX BUTTE AVENUE",
            "address_2": "SUITE 700",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014413",
            "telephone_number": "308-762-7244",
            "fax_number": "308-762-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 BOX BUTTE AVENUE",
            "address_2": "SUITE 700",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014413",
            "telephone_number": "308-762-7244",
            "fax_number": "308-762-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "JERRE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.