Active NPI
Amanda N Montoni
- Acute Care Nurse Practitioner
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704329538
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (248) 898-4021
- Fax
- (248) 898-1473
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704329538 | MI | |
| Acute Care Nurse Practitioner | 363LA2100X | 4704329538 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
1329 Whitefield St
Dearborn Heights, MI 48127-3418
Phone (313) 663-0052
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amontoni@my.madonna.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Apollo Hospitalist Group | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Apollo Family Health Services PC | Past | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
3601 W 13 Mile Rd
Royal Oak, MI 48073
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFHEBA
- amontoni713361@direct.hfhs.org
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Garden City, MI
- NPI 1548978794
-
- Obstetrics & Gynecology Physician
- Wyandotte, MI
- NPI 1457586646
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Nurse Practitioner
- Trenton, MI
- NPI 1144634403
-
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
-
- Internal Medicine Physician
- Garden City, MI
- NPI 1891767281
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1386685212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1831858992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-4021",
"fax_number": "248-898-1473"
}
],
"practiceLocations": [
{
"address_1": "1329 Whitefield St",
"address_purpose": "LOCATION",
"city": "Dearborn Heights",
"state": "MI",
"postal_code": "481273418",
"country_code": "US",
"telephone_number": "313-663-0052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTONI",
"first_name": "AMANDA",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704329538",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704329538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amontoni@my.madonna.edu",
"affiliation": "N",
"address_1": "3601 W 13 Mile Rd",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.