Individual provider Active NPI

Jessica M. Monthan, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1851683411
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2014-0067 Issued in NM
Practice address
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone
(505) 873-7400
Fax
(505) 877-4400
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2014-0067 NM Primary

Addresses

Primary practice location

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4592

Mailing address

2001 N. Centro Familiar 87105
Albuquerque, NM 87105-4592
Phone (505) 873-7400

Other names 1

  • Jessica M. Bryant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150406001957 NM Practitioner - Family Practice 2365683612 Reassigns benefits to 1 organization
I20180111000136 TX Practitioner - Family Practice 2365683612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

3901 Atrisco Dr NW
Albuquerque, NM 87120-1627
Phone (505) 462-7575

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2014-0067NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Family Medicine Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 1, 2024 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Kewa Pueblo Health Corporation CurrentSince Nov 26, 2017 Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Interoperability endpoints

  • Direct secure messaging: jmonthan253053@direct.phs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1851683411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N. CENTRO FAMILIAR 87105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592",
            "telephone_number": "505-873-7400",
            "fax_number": "505-224-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EL CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592",
            "telephone_number": "505-873-7400",
            "fax_number": "505-877-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTHAN",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2014-0067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BRYANT",
            "middle_name": "M.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.