Individual provider Active NPI

Jennel Marie Carreras-Montgomery, MD

  • Plastic Surgery Physician
  • Ocala, FL
National Provider Identifier
1376834564
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME135316 Issued in FL
Practice address
3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone
(352) 629-8154
Fax
(352) 629-5231
NPI assigned
Apr 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME135316 FL Primary

Addresses

Primary practice location

3320 SW 34TH Cir
Ocala, FL 34474-3371

Mailing address

3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone (352) 629-8154

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
I20200724000594 FL Practitioner - Plastic and Reconstructive Surgery 0042505604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone (352) 629-8154

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18
Melanoma (skin cancer) excision19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Center for Cosmetic & Reconstructive Surgery, LLP Single Specialty CurrentSince Aug 1, 2020 Accepting new patients

Locations

20056 E Pennsylvania Ave
Unit 6
Dunnellon, FL 34432
Phone (352) 422-0602

3320 SW 34th Cir
Ocala, FL 34474
Phone (352) 479-0149

11950 County Road 101
The Villages, FL 32162
Phone (352) 391-6190

11950 County Road 101
Ste 205
The Villages, FL 32162
Phone (352) 750-0019

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jcarrerasmontgomery562505@direct.shands.ufl.edu

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.

Hospital & facility affiliations 3

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1376834564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS-MONTGOMERY",
        "first_name": "JENNEL",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME135316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.