NPIMap

Individual provider Active NPI

Jeremy Lee Mount, APRN

  • Gerontology Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1679186241
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
107148 Issued in WV
Practice address
800 20TH St
Huntington, WV 25703-1850
Phone
(304) 696-8700
Fax
(304) 696-8701
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 107148 WV Primary

Addresses

Primary practice location

800 20TH St
Huntington, WV 25703-1850

Mailing address

800 20TH St
Huntington, WV 25703-1850
Phone (304) 696-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jeremy.mount@Marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317000964 WV Practitioner - Nurse Practitioner 6608282652 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Suite 1500
Huntington, WV 25701-3657
Phone (304) 691-1100

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Mar 1, 2021 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Mar 1, 2021 Accepting new patients
University Physicians & Surgeons, Inc Current Accepting new patients

Locations

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

800 20th St
Huntington, WV 25703
Phone (304) 696-8700

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Interoperability endpoints

  • Direct secure messaging: jeremy.mount@marshall.cernerdirect.com

Organizations & group practices 10

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 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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1679186241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031850",
            "telephone_number": "304-696-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031850",
            "telephone_number": "304-696-8700",
            "fax_number": "304-696-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "JEREMY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "107148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jeremy.mount@Marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "800 20th St",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257031850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.