Individual provider Active NPI

Rosa Isela Montenegro, CPNP

  • Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1093205932
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP137426 Issued in TX
Practice address
4500 N Mesa St
El Paso, TX 79912-6102
Phone
(915) 532-9000
Fax
(915) 532-9006
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP137426 TX Primary

Addresses

Primary practice location

4500 N Mesa St
El Paso, TX 79912-6102

Mailing address

4500 N Mesa St
El Paso, TX 79912-6102
Phone (915) 532-9000

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
I20210811000041 TX Practitioner - Nurse Practitioner 4082018296 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umc El Paso Healthcare Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

1400 Hardaway St
Ste 310C
El Paso, TX 79903

4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000

10211 Alameda Ave
Socorro, TX 79927
Phone (915) 440-4400

Interoperability endpoints

  • Direct secure messaging: rosa.montenegro.1@24611.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1093205932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126102",
            "telephone_number": "915-532-9000",
            "fax_number": "915-532-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126102",
            "telephone_number": "915-532-9000",
            "fax_number": "915-532-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "ROSA",
        "middle_name": "ISELA",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP137426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.