MR. JEFFREY CHARLES MUNDT (NP) – Adult Health Nurse Practitioner, NPI 1174669808
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MR. JEFFREY CHARLES MUNDT (NP)
Dalcoma Drive, Clinton Township, Macomb County, Michigan, 48038, United States
CLINTON TOWNSHIP, MI 480383591
Phone: (586) 436-3785
Type: Mailing
43475 DALCOMA DR STE 160
CLINTON TOWNSHIP, MI 480383591
Phone: (586) 436-3785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-12-21
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 |
|---|---|---|---|---|
| I20121221000155 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 128 | 14 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 29 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 17 | $0 |
Insurance plans in this area (ZIP 48038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| P O D I A T R Y | MI | |
| Orthopedic Surgery | MI |
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