Individual provider Active NPI

Joselle Montelus, NP

  • Adult Health Nurse Practitioner
  • Laurelton, NY
National Provider Identifier
1720522212
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307965-1 Issued in NY
Practice address
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone
(718) 949-6433
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 F307965-1 NY Primary

Addresses

Primary practice location

22414 Merrick Blvd
Laurelton, NY 11413-2023

Mailing address

47 Valley Lane West
No. Woodmere, NY 11581
Phone (516) 661-6274

Other practice location 1

259 First Street
Winthrop University Hospital
Mineola, NY 11501
Phone (516) 661-6274

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmontelus230677@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170202001288 NY Practitioner - Nurse Practitioner 8820371602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F307965-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients

Locations

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

22802 Merrick Blvd
Fl 1
Laurelton, NY 11413
Phone (646) 501-4950

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: joselle.montelus.1@27852.direct.athenahealth.com

Organizations & group practices 2

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1720522212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 VALLEY LANE WEST",
            "city": "NO. WOODMERE",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-661-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22414 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023",
            "telephone_number": "718-949-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 First Street",
            "address_2": "Winthrop University Hospital",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "11501",
            "country_code": "US",
            "telephone_number": "516-661-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTELUS",
        "first_name": "JOSELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307965-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmontelus230677@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "22414 Merrick Blvd",
            "city": "Laurelton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

Verify at the official NPI Registry.