JEREMY JAMES NEUNER – Family Nurse Practitioner, NPI 1205945250

JEREMY JAMES NEUNER is a healthcare provider. based in San bernardino, California. specializing in NURSE PRACTITIONER. They hold a License No. 21908 (CA). The NPI Number for JEREMY JAMES NEUNER is 1205945250

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY JAMES NEUNER
NPI
1205945250
Phone
(909) 583-1739
Address
PO BOX 12209
Enumeration Date
30 August 2006
Last Update Date
15 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415482899
Graduation Year
2012 (14 years ago)
PAC ID
9436150190
Group Practice PAC ID
1355406729
Professional Enrollment ID
I20241125003697
Address ID
OR977566802RE3818XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for JEREMY JAMES NEUNER

  • PO BOX 12209

    SAN BERNARDINO, CA 924232209

    Phone: (909) 583-1739

    Fax: (909) 583-2598

    Type: Mailing

  • 1851, North Riverside Avenue, Rialto, San Bernardino County, California, 92376, United States

    RIALTO, CA 923768069

    Phone: (909) 421-2700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-03-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$34
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070123000367IChiropracticCATBD
I20130501000125INurse PractitionerCATBD
I20241125003697INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5853$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 92423)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355406729View full group profile
NameSpecialtyState
-OR
Family PracticeOR
Physician AssistantTN
Nurse PractitionerOR
Physician AssistantCA
Nurse PractitionerOR
Physician AssistantNY
-OR
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What unique ID ties claims to JEREMY JAMES NEUNER?
NPI 1205945250 is assigned to JEREMY JAMES NEUNER under the national enumeration system.
Is JEREMY JAMES NEUNER's NPI currently valid?
The extract we use shows JEREMY JAMES NEUNER as active.
What kind of provider is JEREMY JAMES NEUNER?
The page reflects Family Nurse Practitioner for JEREMY JAMES NEUNER. Clinical services aligned with this taxonomy classification.
Where is JEREMY JAMES NEUNER's primary listing?
We display San Bernardino, California because that is what the record indicates for JEREMY JAMES NEUNER.
What if San Bernardino, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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