PAUL JUTTE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114540317

PAUL JUTTE (PMHNP-BC) is a healthcare provider. based in Miamisburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 026687 (OH). The NPI Number for PAUL JUTTE (PMHNP-BC) is 1114540317

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PAUL JUTTE (PMHNP-BC)
NPI
1114540317
Phone
(937) 759-0545
Address
9049 SPRINGBORO PIKE STE A
Enumeration Date
21 May 2020
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9377590545
Graduation Year
2019 (7 years ago)
PAC ID
4082010061
Group Practice PAC ID
8527462506
Professional Enrollment ID
I20210831003062
Address ID
OH453424926MI9049XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for PAUL JUTTE (PMHNP-BC)

  • 9049 SPRINGBORO PIKE STE A

    MIAMISBURG, OH 453425057

    Phone: (937) 759-0545

    Type: Mailing

  • 607 6TH AVE

    DAYTON, KY 410741143

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,287.

Total Amount is formed as General ($1,287) + Research ($0) + Ownership ($0) = $1,287.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($250).

Total Amount

$1,287

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-08-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210831003062INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45342)

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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: 8527462506View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the standard ID for PAUL JUTTE (PMHNP-BC) in the U.S.?
In the U.S., PAUL JUTTE (PMHNP-BC) is identified by NPI 1114540317.
Quick check: is PAUL JUTTE (PMHNP-BC) active?
Public NPPES data shows PAUL JUTTE (PMHNP-BC) with an active NPI status right now.
Which specialty label fits PAUL JUTTE (PMHNP-BC)?
NPPES ties PAUL JUTTE (PMHNP-BC) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit PAUL JUTTE (PMHNP-BC) in Miamisburg, Ohio?
For routing, start with Miamisburg, Ohio for PAUL JUTTE (PMHNP-BC), then verify phone and hours locally.
Why is information missing for PAUL JUTTE (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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