JEFF L. MUNDERLOH (PA-C) – Medical Physician Assistant, NPI 1548215619
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for JEFF L. MUNDERLOH (PA-C)
958 WELLNESS WAY STE 1
PENDER, NE 680474518
Phone: (402) 385-3033
Fax: (402) 385-3092
Type: Location
Pender, Thurston County, Nebraska, United States
PENDER, NE 680470100
Phone: (402) 385-4004
Fax: (402) 385-4041
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $518.
Total Amount is formed as General ($518) + Research ($0) + Ownership ($0) = $518.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($175).
Total Amount
$518
General + Research + Ownership
Payments
34
Total payment records
General Amount
$518
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-02-06
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 |
|---|---|---|---|---|
| I20090206000205 | I | Physician Assistant | NE | 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 68047)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| O T O L A R Y N G O L O G Y | NE |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.