Jenna Grace Munger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

055.0031758 Issued in VT

Practice address

53 Hillside Rd
Rutland, VT 05701-2503

Phone

(802) 558-0794

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Physician Assistant

Education

Philadelphia College of Osteopathic Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
• Direct secure messaging: jmunger@chcrr.medentdirect.com

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.

• Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
  • NPI 1083678833
  Medicare reassignment Care Compare group NPD
• Community Health Centers of the Rutland Region, Inc.

  • Family Medicine Physician
  • Brandon, VT
  • NPI 1073567590
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Family Medicine Physician
  • West Pawlet, VT
  • NPI 1104870922
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Pediatrics Physician
  • Rutland, VT
  • NPI 1780969345
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1467681114
  Medicare reassignment
• Community Health Centers of the Rutland Region, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bomoseen, VT
  • NPI 1336193838
  Medicare reassignment
• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1518613215
  NPD
• Rutland Hospital, Inc.

  • Psychiatric Hospital Unit
  • Rutland, VT
  • NPI 1467416206
  NPD
• Community Health Centers of the Rutland Region, Inc

  • Federally Qualified Health Center (FQHC)
  • Shoreham, VT
  • NPI 1811241094
  NPD (past)
• Rutland Hospital, Inc

  • Emergency Medicine Physician
  • Rutland, VT
  • NPI 1194789941
  NPD (past)

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

• Rutland Hospital, Inc.

  • General Acute Care Hospital
  • Rutland, VT
  • NPI 1720042203
  Care Compare affiliation

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1649974395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HILLSIDE RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012503",
            "telephone_number": "802-558-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HILLSIDE RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012503",
            "telephone_number": "802-558-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "JENNA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-06-09",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055.0031758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Move With Mountains LLC
• Sudhir Babu Movva, M.D
• Kimberlee Adele Moyer, R.N.,M.S.N.,C.S.
• Suzanne Mueller, LCMHC
• Hannah J Mulligan, NP
• Stephanie Corrinne Munoz Wells, BS EARLY CHILD ED
• Lynn Murphy, LICSW
• Desiree L Murray
• Joseph M Myers, DPT
• Rose M Mylott, LADC, LCMHC

• Medical Physician Assistant in Rutland, VT
• Providers in Rutland, VT by specialty
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.