Individual provider Active NPI

Jennifer Dennis Miramontes, FNP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1962648279
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004180 Issued in NC
Practice address
One Medical Center Blvd
Winston Salem, NC 27157-3465
Phone
(336) 716-7246
Fax
(336) 716-8773
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004180 NC Primary
Family Nurse Practitioner 363LF0000X 5004180 NC

Addresses

Primary practice location

One Medical Center Blvd
Winston Salem, NC 27157-3465

Mailing address

One Medical Center Blvd
Winston Salem, NC 27157-3465
Phone (336) 716-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090312000303 NC Practitioner - Nurse Practitioner 7315003514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

2149 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3668
Phone (910) 728-4410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004180NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions PLLC CurrentSince Jun 22, 2020 Accepting new patients
Integrated Pain Solutions PLLC CurrentSince Jun 22, 2020 Accepting new patients
Anesthesia Care Services, PA Past Accepting new patients

Locations

610 N Fayetteville St
Ste 106
Asheboro, NC 27203
Phone (252) 567-9540

2149 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (252) 567-9540

2149 Valleygate Dr
Ste 200
Fayetteville, NC 28304
Phone (910) 728-4410

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

695 S Bennett St
Southern Pnes, NC 28387
Phone (910) 687-6187

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • Direct secure messaging: jennifer-miramontes@ipcfayetteville.e-mdsdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1962648279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271573465",
            "telephone_number": "336-716-7246",
            "fax_number": "336-716-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271573465",
            "telephone_number": "336-716-7246",
            "fax_number": "336-716-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "JENNIFER",
        "middle_name": "DENNIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004180",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.