Individual provider Active NPI

Jennifer Louise Munoz, FNP

  • Family Nurse Practitioner
  • Decatur, TX
National Provider Identifier
1871324210
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1170841 Issued in TX
Practice address
800 Medical Center Dr Ste C
Decatur, TX 76234-3844
Phone
(940) 626-2110
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1170841 TX Primary

Addresses

Primary practice location

800 Medical Center Dr Ste C
Decatur, TX 76234-3844

Mailing address

2264 County Road 4421
Rhome, TX 76078-2110
Phone (682) 554-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240827004514 TX Practitioner - Nurse Practitioner 2769921386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christine Holland, M.D., P. a.Group PAC ID 3779658190, 30 clinicians

Practice addresses (Care Compare)

800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1170841TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Holland MD PA CurrentSince Aug 14, 2024 Accepting new patients

Locations

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

800 Medical Center Dr
Ste D
Decatur, TX 76234
Phone (574) 339-0361

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1871324210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 COUNTY ROAD 4421",
            "city": "RHOME",
            "state": "TX",
            "postal_code": "760782110",
            "telephone_number": "682-554-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR STE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343844",
            "telephone_number": "940-626-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1170841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.