Individual provider Active NPI

Annette Montes-Lopez, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1194145581
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9204995 Issued in FL
Practice address
4631 N Congress Ave Ste 202
West Palm Beach, FL 33407-3234
Phone
(561) 530-1725
Fax
(561) 863-5576
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 ARNP9204995 FL Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 202
West Palm Beach, FL 33407-3234

Mailing address

4631 N Congress Ave Ste 202
West Palm Beach, FL 33407-3234
Phone (561) 530-1725

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annette.monteslopez@hca4.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150127000471 FL Practitioner - Nurse Practitioner 7113241969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

4631 N Congress Ave
Suite 202
West Palm Beach, FL 33407-3234
Phone (561) 530-1725

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Palm Beach Physician Group Inc CurrentSince Sep 29, 2014 Accepting new patients
Palm Beach General Surgery LLC CurrentSince Sep 1, 2018 Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

160 John F Kennedy Dr
Ste 102
Lake Worth, FL 33462
Phone (561) 439-0961

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

900 Village Square Xing
Ste 230
Palm Beach Gardens, FL 33410
Phone (561) 227-7660

1825 SE Tiffany Ave
Ste 101
Port St Lucie, FL 34952
Phone (772) 219-4026

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

4631 N Congress Ave
Ste 110
West Palm Beach, FL 33407
Phone (561) 530-1725

4631 N Congress Ave
Ste 202
West Palm Beach, FL 33407
Phone (561) 530-1725

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: annette.monteslopez@hca4.eclinicaldirectplus.com

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1194145581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-530-1725",
            "fax_number": "561-863-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-530-1725",
            "fax_number": "561-863-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES-LOPEZ",
        "first_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9204995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annette.monteslopez@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4631 N Congress Ave Ste 202",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334073234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.