MR. KING DAVID SR. MUNGIN (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174042212
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. KING DAVID SR. MUNGIN (ARNP)
1215 Dunn Ave
Jacksonville, FL 322186330
Phone: (904) 757-1998
Fax: (904) 696-7462
Type: Location
40 South Main St Suite 1300
Memphis, TN 38103
Phone: (866) 949-0108
Type: Location
Dunn Avenue, Jacksonville, Duval County, Florida, 32218, United States
JACKSONVILLE, FL 322186330
Phone: (904) 757-1998
Fax: (904) 696-7462
Type: Location
40 SOUTH MAIN ST SUITE 1300
MEMPHIS, TN 38103
Phone: (866) 949-0108
Type: Location
6520, Fort Caroline Road, Newcastle, Jacksonville, Duval County, Florida, 32277, United States
JACKSONVILLE, FL 322772044
Phone: (904) 745-3618
Fax: (904) 722-4271
Type: Mailing
725 N 12TH AVE BLDG B
ARCADIA, FL 342668752
Phone: (863) 494-1242
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $20 |
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: 2018-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180419002384 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Clinical Social Worker | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
Reviews
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