Individual provider Active NPI

Pierre Jacob Montrose, MD

  • Psychiatry Physician
  • Port St Lucie, FL
National Provider Identifier
1144312638
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME69838 Issued in FL
Practice address
2550 SE Walton Rd
Port St Lucie, FL 34952-7168
Phone
(772) 408-5861
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X ME69838 FL
Psychiatry Physician 2084P0800X ME69838 FL Primary

Addresses

Primary practice location

2550 SE Walton Rd
Port St Lucie, FL 34952-7168

Mailing address

PO Box 12717
Fort Pierce, FL 34979-2717
Phone (772) 871-7800

Other identifiers 1

IdentifierTypeStateIssuer
E1050ZMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001529 FL Practitioner - Psychiatry 8527251859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons of the Treasure Coast IncGroup PAC ID 1153313218, 20 clinicians

Practice addresses (Care Compare)

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (561) 468-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69838FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons of the Treasure Coast Inc Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Piere Jacob Montrose M D PA Psychiatry CurrentSince Aug 8, 2010 Accepting new patients
Florida Post Acute Medical Services 1 PA Past Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

1860 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (561) 466-1500

5762 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (772) 871-7800

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1144312638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12717",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349792717",
            "telephone_number": "772-871-7800",
            "fax_number": "772-871-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SE WALTON RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527168",
            "telephone_number": "772-408-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTROSE",
        "first_name": "PIERRE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "ME69838",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME69838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E1050Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.