Active NPI
Martha Elisa Montero
- Certified Registered Nurse Anesthetist
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9218889
- Practice address
- 1670 Eagle Harbor Pkwy
Orange Park, FL 32003-4820 - Phone
- (904) 644-0700
- NPI assigned
- Sep 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9218889 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9218889 | FL | Primary |
Addresses
Primary practice location
1670 Eagle Harbor Pkwy
Orange Park, FL 32003-4820
Mailing address
1670 Eagle Harbor Pkwy
Orange Park, FL 32003-4820
Phone (904) 644-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010390100 | Medicaid | FL | |
| 003159802A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1855 Eastwest Pkwy
Fleming Island, FL 32003-6348
Phone (904) 272-2020
63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East West Anesthesia LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
1855 Eastwest Pkwy
Fleming Isle, FL 32003
63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
1670 Eagle Harbor Pkwy
Orange Park, FL 32003
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fleming Island, FL
- NPI 1194435651
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1245271154
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1699935965
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1386893030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 EAGLE HARBOR PKWY",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320034820",
"telephone_number": "904-644-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 EAGLE HARBOR PKWY",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320034820",
"telephone_number": "904-644-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERO",
"first_name": "MARTHA",
"middle_name": "ELISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9218889",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9218889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010390100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003159802A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.