Individual provider Active NPI

Patricia Andrea Tan Montierth, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Liberty Hill, TX
National Provider Identifier
1083499636
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1134398 Issued in TX
Practice address
100 Majestic Way
Liberty Hill, TX 78642-6415
Phone
(559) 972-6183
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1134398 TX Primary

Addresses

Primary practice location

100 Majestic Way
Liberty Hill, TX 78642-6415

Mailing address

100 Majestic Way
Liberty Hill, TX 78642-6415
Phone (559) 972-6183

Other names 1

  • Patricia Andrea Adler Tan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107001177 TX Practitioner - Nurse Practitioner 6406203801 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-0150

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-1017

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5125

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1134398TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Critical Care Medicine Services of Texas, PLLC CurrentSince Jul 10, 2024 Accepting new patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Jul 10, 2024 Accepting new patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Dec 6, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Jul 10, 2024 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 10, 2024 Accepting new patients
Neurotexas, PLLC Past Accepting new patients

Locations

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

3000 Ih 35 N
Ste 660
Austin, TX 78681
Phone (512) 236-1310

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Interoperability endpoints

  • Direct secure messaging: patricia.montierth@hca8.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1083499636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAJESTIC WAY",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426415",
            "telephone_number": "559-972-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAJESTIC WAY",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426415",
            "telephone_number": "559-972-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "PATRICIA ANDREA",
        "middle_name": "TAN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1134398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA ANDREA",
            "last_name": "TAN",
            "middle_name": "ADLER",
            "credential": "RN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.