Individual provider Active NPI

Brenda May Munella, W.H.N.P.- BC

  • Women's Health Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1619017191
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420715-1 Issued in NY
Practice address
15 S Main St
Suite 130 - Women'S Health
Jamestown, NY 14701-6626
Phone
(716) 483-3520
Fax
(716) 488-2760
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420715-1 NY Primary

Addresses

Primary practice location

15 S Main St
Suite 130 - Women'S Health
Jamestown, NY 14701-6626

Mailing address

15 S Main St
Suite 130 - Women'S Health
Jamestown, NY 14701-6626
Phone (716) 483-3520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brenda.m.munella@upmc.direct.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000484 NY Practitioner - Nurse Practitioner 1355514407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

17 Sherman St
Jamestown, NY 14701-7087

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F420715-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Physician Practice PC CurrentSince Jun 29, 2014 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Women'S Health CurrentSince Jun 1, 1997 Accepting new patients

Locations

15 S Main St
Ste 130
Jamestown, NY 14701
Phone (716) 483-3520

15 S Main St
Ste 300
Jamestown, NY 14701
Phone (716) 488-1877

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

17 Sherman St
Ste 2100
Jamestown, NY 14701
Phone (716) 483-6700

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: brenda.m.munella@upmcdirect.com

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.

Hospital & facility affiliations 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1619017191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 130 - WOMEN'S HEALTH",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-483-3520",
            "fax_number": "716-488-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 130 - WOMEN'S HEALTH",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-483-3520",
            "fax_number": "716-488-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNELLA",
        "first_name": "BRENDA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "W.H.N.P.- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-08-28",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420715-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.m.munella@upmc.direct.com",
            "affiliation": "N",
            "address_1": "15 S Main St",
            "address_2": "Suite 130 - Women's Health",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147016626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.