Individual provider Active NPI

Monica Montufar, CNM

  • Advanced Practice Midwife
  • San Luis, AZ
National Provider Identifier
1003927336
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP6539 Issued in AZ
Practice address
151 S Oak Ave Ste 3
San Luis, AZ 85336-0756
Phone
(928) 662-0412
Fax
(928) 662-0411
NPI assigned
Aug 31, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM 1513 CA
Advanced Practice Midwife 367A00000X AP6539 AZ Primary

Addresses

Primary practice location

151 S Oak Ave Ste 3
San Luis, AZ 85336-0756

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 315-7910

Other practice location 1

950 E Main St Bldg B
Somerton, AZ 85350-7409
Phone (928) 236-8001

Other practice location 2

2175 S Avenue A Ste A
Yuma, AZ 85364-8458
Phone (928) 459-3493

Other identifiers 1

IdentifierTypeStateIssuer
099334MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821002869 AZ Practitioner - Certified Nurse Midwife (CNM) 2668637059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians

Practice addresses (Care Compare)

151 S Oak Ave
Suite 3
San Luis, AZ 85336-0756
Phone (928) 662-0406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1513CAMDOccupational Therapy Assistant
CNM 1513CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Center for Border Health, Inc CurrentSince Sep 1, 2024 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Feb 13, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients
Yuma Regional Medical Center Past Accepting new patients

Locations

1130 E Main St
Somerton, AZ 85350
Phone (928) 627-2017

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
  • Direct secure messaging: monica.montufar.1@11823.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1003927336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-315-7910",
            "fax_number": "928-722-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 3",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-662-0412",
            "fax_number": "928-662-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Main St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Somerton",
            "state": "AZ",
            "postal_code": "853507409",
            "country_code": "US",
            "telephone_number": "928-236-8001",
            "fax_number": "928-627-1509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 S Avenue A Ste A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648458",
            "country_code": "US",
            "telephone_number": "928-459-3493",
            "fax_number": "928-248-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTUFAR",
        "first_name": "MONICA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "CNM 1513",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP6539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099334",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

Verify at the official NPI Registry.