Active NPI
Heidi S Montague, FNP
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN079558
- Practice address
- 2990 N Swan Rd
#227
Tucson, AZ 85712-6025 - Phone
- (520) 664-8624
- Fax
- (520) 203-8899
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN079558 | AZ | Primary |
Addresses
Primary practice location
2990 N Swan Rd
#227
Tucson, AZ 85712-6025
Mailing address
2675 N Wyatt Dr
#126
Tucson, AZ 85712-6107
Phone (520) 548-3725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390097 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2675 N Wyatt Dr
Tucson, AZ 85712-6107
Phone (520) 260-0937
Hospital & facility affiliations
- St Joseph'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Solutions, LLC | Current | Accepting new patients | |
| Grace Medical Group LLC | Current | Accepting new patients | |
| Pathways Medical Partners | Current | Accepting new patients | |
| Catalina Hospice PLLC | Past | Accepting new patients | |
| NM Pacs 2 LLC | Past | Accepting new patients | |
| Agape Hospice & Palliative Care, LLC | Past | Accepting new patients |
Locations
2675 N Wyatt Dr
#126
Tucson, AZ 85712
2990 N Swan Rd
Ste 227
Tucson, AZ 85712
Phone (520) 232-9797
4729 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 661-5125
1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103
2675 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 260-0937
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Grace Hospice and Palliative Care LLC | Hospice | 5% Or Greater Direct Ownership Interest (12.5%) | Aug 19, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Tucson, AZ
- NPI 1114693769
5% Or Greater Direct Ownership Interest
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 and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Tucson, AZ
- NPI 1215603964
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1144762238
-
- Geriatric Medicine (Internal Medicine) Physician
- Tucson, AZ
- NPI 1679593131
-
- Community Based Hospice Care Agency
- Tucson, AZ
- NPI 1679826549
-
- Community Based Hospice Care Agency
- Tucson, AZ
- NPI 1396351235
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1366928749
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1316033103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 N WYATT DR",
"address_2": "#126",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126107",
"telephone_number": "520-548-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 N SWAN RD",
"address_2": "#227",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126025",
"telephone_number": "520-664-8624",
"fax_number": "520-203-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGUE",
"first_name": "HEIDI",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN079558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390097",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.