Individual provider Active NPI

Charise Lynne Monte, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1093314874
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340883 Issued in AZ
Practice address
1510 E Flower St
Phoenix, AZ 85014-5656
Phone
(602) 954-0444
Fax
(602) 952-7146
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340883 AZ Primary

Addresses

Primary practice location

1510 E Flower St
Phoenix, AZ 85014-5656

Mailing address

1510 E Flower St
Phoenix, AZ 85014-5656
Phone (602) 954-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20241115000673 OR Practitioner - Nurse Practitioner 7618387119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians
Housecall Providers PCGroup PAC ID 7113297789, 23 clinicians

Practice addresses (Care Compare)

24988 SE Stark St
Suite 220
Gresham, OR 97030-8324
Phone (503) 674-1580

5100 S Macadam Ave
Suite 200
Portland, OR 97239-3827
Phone (971) 202-5500

Hospital & facility affiliations

  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Mount Hood Medical Center CurrentSince Nov 11, 2024 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
Housecall Providers, PC CurrentSince Aug 11, 2025 Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24988 SE Stark St
Ste 220
Gresham, OR 97030
Phone (503) 674-1580

5100 S Macadam Ave
Ste 200
Portland, OR 97239
Phone (971) 202-5500

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1093314874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "602-954-0444",
            "fax_number": "602-952-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "602-954-0444",
            "fax_number": "602-952-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTE",
        "first_name": "CHARISE",
        "middle_name": "LYNNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "340883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.