Individual provider Active NPI

Mary Frances Montesano, R.N. P.N.P.

  • Pediatric Nurse Practitioner
  • McMinnville, OR
National Provider Identifier
1528114428
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
000035633N2 PNP-PP Issued in OR
Practice address
1075 SW Cedarwood Ave
McMinnville, OR 97128-6818
Phone
(503) 435-1435
Fax
(503) 435-1435
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 000035633N2 PNP-PP OR
Pediatric Nurse Practitioner 363LP0200X 000035633N2 PNP-PP OR Primary

Addresses

Primary practice location

1075 SW Cedarwood Ave
McMinnville, OR 97128-6818

Mailing address

7530 NW Mountain View Dr
Corvallis, OR 97330-9106
Phone (541) 745-2534

Other names 1

  • Ms. Molly Montesano Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
000035633N2 PNP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juliette'S House Child Abuse Assessment Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528114428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 NW MOUNTAIN VIEW DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309106",
            "telephone_number": "541-745-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SW CEDARWOOD AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286818",
            "telephone_number": "503-435-1435",
            "fax_number": "503-435-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESANO",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "R.N. P.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "000035633N2 PNP-PP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "000035633N2 PNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MONTESANO",
            "prefix": "MS.",
            "credential": "R.N. P.N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.