Individual provider Active NPI

Ocotlan Montoya, CNP

  • Family Nurse Practitioner
  • Lovington, NM
National Provider Identifier
1679810592
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122810 Issued in TX
Practice address
1600 N Main Ave
Lovington, NM 88260-2813
Phone
(575) 396-6611
Fax
(575) 396-0318
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 AP122810 TX Primary

Addresses

Primary practice location

1600 N Main Ave
Lovington, NM 88260-2813

Mailing address

420 E 6TH St
Ste 107
Odessa, TX 79761-4537
Phone (432) 582-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160711001177 TX Practitioner - Nurse Practitioner 3375789316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odessa Consultants LLCGroup PAC ID 4981783727, 3 clinicians

Practice addresses (Care Compare)

807 N Hancock Ave
Odessa, TX 79761-4537
Phone (432) 582-2446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ocotlan.montoya.1@9928.direct.athenahealth.com

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": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1679810592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST",
            "address_2": "STE 107",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614537",
            "telephone_number": "432-582-2446",
            "fax_number": "432-582-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "OCOTLAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovington, NM

Sources for this page

Verify at the official NPI Registry.