Bozena Beata Montes, AGNP, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11334524-4405 Issued in UT

Practice address

3802 S 700 E
Salt Lake City, UT 84106-1182

Phone

(801) 264-6000

Fax

(801) 564-6098

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt Lake Behavioral Health LLCGroup PAC ID 6709915473, 7 clinicians

Santibanez Pac UtahGroup PAC ID 1355785437, 19 clinicians

Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Salt Lake Behavioral Health, LLC

  • Psychiatric Hospital
  • Salt Lake City, UT
  • NPI 1295066116

  UT

  Medicare reassignment Care Compare group NPD
• Santibanez Pac Utah

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1881469484

  Nurse Practitioner, UT

  Medicare reassignment Care Compare group NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  Internal Medicine, UT

  Medicare reassignment Care Compare group NPD
• Odyssey House Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033143706

  UT

  Medicare reassignment NPD
• On Call Doc

  • Addiction Medicine (Family Medicine) Physician
  • South Jordan, UT
  • NPI 1598005340

  UT

  Medicare reassignment
• Metro Treatment of Utah LP

  • Methadone Clinic
  • Woods Cross, UT
  • NPI 1124234448
  NPD
• Odyssey House Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1407481245
  NPD
• Salt Lake Behavioral Health, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Salt Lake City, UT
  • NPI 1689037566
  NPD

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1558778902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15024 S ROSE CREEK LN",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963639",
            "telephone_number": "773-653-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061182",
            "telephone_number": "801-264-6000",
            "fax_number": "801-564-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10437 S Jordan Gtwy",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840953915",
            "country_code": "US",
            "telephone_number": "801-503-9211",
            "fax_number": "801-335-5957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 W 700 S",
            "address_purpose": "LOCATION",
            "city": "Woods Cross",
            "state": "UT",
            "postal_code": "840871438",
            "country_code": "US",
            "telephone_number": "801-292-2318",
            "fax_number": "801-295-2556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTES",
        "first_name": "BOZENA",
        "middle_name": "BEATA",
        "name_prefix": "Mrs.",
        "credential": "AGNP, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "11334524-4405",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "11334524-4405",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "11334524-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11334524-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Montelongo
• Richard Christian Montenegro, PA
• Amber Jo Montero, CSW
• Mackenzie Lynn Montero, MD
• William Montero Jr.
• Elias Montgomery
• Hunter Montgomery
• James Ross Montgomery
• Jessica Meghan Montgomery, DPT
• Jessie Montgomery

• Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.
• 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.

Verify at the official NPI Registry.