Individual provider Active NPI

Marrisa Leigh Montano-White, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Castle Pines, CO
National Provider Identifier
1376404053
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1001730-NP Issued in CO
Practice address
1502 Stablecross Dr
Castle Pines, CO 80108-9603
Phone
(303) 903-7603
Fax
(303) 903-7603
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology/Infertility Registered Nurse 163WR1000X RN.0199488 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1001730-NP CO Primary

Addresses

Primary practice location

1502 Stablecross Dr
Castle Pines, CO 80108-9603

Mailing address

1502 Stablecross Dr
Castle Pines, CO 80108-9603
Phone (720) 637-2579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260609002463 CO Practitioner - Nurse Practitioner 8325519457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Lake Shore Dr S
Randolph, NJ 07869-4763

3720 Sinton Rd
Suite 104
Colorado Springs, CO 80907-5061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.0199488COMDReproductive Endocrinology/Infertility Registered Nurse
APN.1001730-NPCOMDPsychiatric/Mental Health Nurse Practitioner

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": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1376404053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 STABLECROSS DR",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089603",
            "telephone_number": "720-637-2579",
            "fax_number": "720-637-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 STABLECROSS DR",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089603",
            "telephone_number": "303-903-7603",
            "fax_number": "303-903-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO-WHITE",
        "first_name": "MARRISA",
        "middle_name": "LEIGH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
            "state": "CO",
            "license": "RN.0199488",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001730-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.