Susan E Montag, DNP, CRNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP009745 Issued in PA

Practice address

81 Hillcrest Dr Ste 100
Punxsutawney, PA 15767-2605

Phone

(814) 938-7066

Fax

(814) 938-4509

NPI assigned

Feb 25, 2008

Last updated

Apr 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan E Chaffee Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: semontag@1285.direct.myezyaccess.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment NPD
• Dubois Regional Medical Center

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1245410554
  Medicare reassignment NPD
• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  Medicare reassignment NPD
• Butler Medical Providers

  dba BHS Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Butler, PA
  • NPI 1245629617
  NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Punxsutawney Area Hospital Inc

  dba Punxsutawney Area Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Punxsutawney, PA
  • NPI 1528775269
  NPD
• Punxsutawney Area Hospital Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Punxsutawney, PA
  • NPI 1861509267
  NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657

  Nurse Practitioner

  NPD (past)
• Dubois Regional Medical Group, PC

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1093956617

  Nurse Practitioner

  NPD (past)
• Jennifer Wineberg Zeitler

  • Family Medicine Physician
  • Reynoldsville, PA
  • NPI 1194299248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1396914354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR STE 100",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-7066",
            "fax_number": "814-938-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR STE 100",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-7066",
            "fax_number": "814-938-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAG",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "DNP, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103136604-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHAFFEE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Paul Merrow, D.C
• Carissa Micale, MS, NCC, LPC
• Rebecca L Milliron, LPN, SA-C
• Sierra Milton, PHARMD
• Monarch Psychiatric Services, P.C.
• Delroy M Moore, D.C.
• Jennifer Moore
• Mulberry Healthcare Operating LLC
• Mulberry Square Elder Care and Rehabilitation Center LLC (Mulberry Healthcare and Rehabilitation Center)
• Amber Muti, CRNP

• Nurse Practitioner in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.