Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225223431 Individual Practitioner Female Practitioner

Nancy Elizabeth Munoz , PA-C

Physician Assistant • Fort Drum, NY

Professional Overview & Biography Verified Profile Summary

Nancy Munoz, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Drum, NY. Practice services are available at 11050 MOUNT BELVEDERE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11050 Mount Belvedere Blvd

Fort Drum, NY 136025438

Telephone 7752403734
Associated Practice Facility / Clinic
🏢 Us Army Facility NPI 1992786859

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Drum, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
58 Specialists

Practicing in Fort Drum, NY (15701 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV 416

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002416081 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Laurel Jarvis , PhD

Psychologist - Clinical

NPI 1003100512

Doctor of Philosophy (Ph.D.)

David Keyes , RPA-C

Physician Assistant

NPI 1013993625

RPAC

Brady Simpkins , PA-C

Physician Assistant

NPI 1023305729

Physician Assistant (Certified)

Mary Macculloch , LCSW

Social Worker - Clinical

NPI 1023369675

Licensed Clinical Social Worker

Dr. Isaac Mills , DO

Family Medicine

NPI 1023561107

Doctor of Osteopathic Medicine (D.O.)

NPI 1043283419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2025

Physician Assistant

📍
Updated Practice Location December 24, 2021

Registered at 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 136025438 (Tel: 7752403734)

📍
Updated Business Mailing Address December 24, 2021

Registered at 207 WEALTHA AVE APT 651A, WATERTOWN, NY 136015807 (Tel: 7752403734)

NPI Profile Active November 07, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2007

Registered at 5 PINE CONE RD, DAYTON, NV 894037393 (Tel: 7752460200)

📍
Updated Business Mailing Address November 07, 2007

Registered at 6880 SUNKIST DR, SPARKS, NV 894369001 (Tel: 7752403734)

👤
Provider Name / Credentials Updated November 07, 2007

Recorded as NANCY MUNOZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2007

Physician Assistant (License #416 in NV)

🟢
Initial NPI Registration & Enumeration September 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225223431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2007
Last Update: March 16, 2025
Sole Proprietor: No

Mailing Address

207 Wealtha Ave Apt 651a

Watertown, NY 136015807

Phone: 3152214832

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.