Individual provider Active NPI

Jane P Montano, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NM
National Provider Identifier
1407508922
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66701 Issued in NM
Practice address
1024 South Pacific Street
Las Vegas, NM 87701
Phone
(505) 426-2599
Fax
(877) 553-1272
NPI assigned
Jan 25, 2022
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 66701 NM Primary

Addresses

Primary practice location

1024 South Pacific Street
Las Vegas, NM 87701

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other practice location 1

313 New Mexico 65
Las Vegas, NM 87701-4477
Phone (505) 426-4309

Other practice location 2

6032 Mafraq Ave NW
Albuquerque, NM 87114-6066
Phone (505) 426-4309

Other practice location 3

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

Other practice location 4

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Albuquerque
CONNECT URL JessicaSanchez Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220421002458 NM Practitioner - Nurse Practitioner 5496142432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

1024 S Pacific St
Las Vegas, NM 87701-3415
Phone (505) 426-2599

117 Camino de Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

901 Baca St
Las Vegas, NM 87701-4972
Phone (505) 454-3218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
66701NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Clinics CurrentSince Jul 1, 2023 Accepting new patients
El Centro Family Health CurrentSince Jan 12, 2022 Accepting new patients
El Centro Family Health CurrentSince Jan 12, 2022 Accepting new patients
Sunrise Clinics Past Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

1024 S Pacific St
Las Vegas, NM 87701
Phone (505) 426-2564

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

2515 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2662

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1407508922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 SOUTH PACIFIC STREET",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-426-2599",
            "fax_number": "877-553-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 New Mexico 65",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014477",
            "country_code": "US",
            "telephone_number": "505-426-4309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6032 Mafraq Ave NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871146066",
            "country_code": "US",
            "telephone_number": "505-426-4309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Ridge Runner Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014972",
            "country_code": "US",
            "telephone_number": "505-434-0119",
            "fax_number": "877-553-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Camino De Vida Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "NM",
            "postal_code": "884352267",
            "country_code": "US",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "JANE",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "66701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Albuquerque",
            "affiliation": "N",
            "address_1": "6032 Mafraq Ave NW",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871146066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JessicaSanchez",
            "affiliation": "N",
            "endpointDescription": "Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "117 Camino De Vida Ste 300",
            "city": "Santa Rosa",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884352267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.