Individual provider Active NPI

Gabrielle L Montalvo, CRNP

  • Adult Health Nurse Practitioner
  • Meadowbrook, PA
National Provider Identifier
1487830436
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP008491 Issued in PA
Practice address
1650 Huntingdon Pike Ste 357
Meadowbrook, PA 19046-8009
Phone
(215) 938-1999
Fax
(215) 938-1203
NPI assigned
Jan 20, 2008
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP008491 PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike Ste 357
Meadowbrook, PA 19046-8009

Mailing address

1650 Huntingdon Pike Ste 357
Meadowbrook, PA 19046-8009
Phone (215) 938-1999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190705000051 PA Practitioner - Nurse Practitioner 3375776859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Pain AssociatesGroup PAC ID 1557349644, 3 clinicians

Practice addresses (Care Compare)

1650 Huntingdon Pike
Suite 357
Meadowbrook, PA 19046-8009
Phone 21593819990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP008491PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Pain Associates CurrentSince Nov 15, 2019 Accepting new patients

Locations

1650 Huntingdon Pike
Ste 357
Meadowbrook, PA 19046
Phone (215) 938-1999

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, 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": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1487830436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE STE 357",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468009",
            "telephone_number": "215-938-1999",
            "fax_number": "215-938-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE STE 357",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468009",
            "telephone_number": "215-938-1999",
            "fax_number": "215-938-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "GABRIELLE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-20",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP008491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.