Individual provider Active NPI

Jose Tirso Montecillo, FNP-C

  • Critical Care Medicine Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1750750030
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
F0915006 Issued in TX
Practice address
2009 Dartmouth Ave
McAllen, TX 78504-5767
Phone
(956) 789-8833
NPI assigned
Sep 17, 2015
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X F0915006 TX Primary
Family Nurse Practitioner 363LF0000X AP129346 TX

Addresses

Primary practice location

2009 Dartmouth Ave
McAllen, TX 78504-5767

Mailing address

2009 Dartmouth Ave
McAllen, TX 78504-5767
Phone (956) 789-8833

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
I20230824004323 TX Practitioner - Nurse Practitioner 2668835588 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0915006TXMDCritical Care Medicine Nurse Practitioner
AP129346TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RX Wound Care Clinic LLC CurrentSince Oct 12, 2025 Accepting new patients
Urgent Care Center by DMD LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

1112 S McColl Rd
Edinburg, TX 78539
Phone (956) 348-2093

Interoperability endpoints

  • Direct secure messaging: jose.montecillo@hca9.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1750750030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 DARTMOUTH AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045767",
            "telephone_number": "956-789-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 DARTMOUTH AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045767",
            "telephone_number": "956-789-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTECILLO",
        "first_name": "JOSE",
        "middle_name": "TIRSO",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "F0915006",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.