NPIMap

Individual provider Active NPI

Malcolm Joseph Monlezun, CRNA

  • Certified Registered Nurse Anesthetist
  • Longmont, CO
National Provider Identifier
1861430928
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
160578 Issued in CO
Practice address
13601 N 115TH St
Longmont, CO 80504-8017
Phone
(303) 915-2269
Fax
(866) 663-6555
NPI assigned
Jun 2, 2006
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 160578 CO Primary

Addresses

Primary practice location

13601 N 115TH St
Longmont, CO 80504-8017

Mailing address

13601 N 115TH St
Longmont, CO 80504-8017
Phone (303) 915-2269

Other identifiers 1

IdentifierTypeStateIssuer
41535545MedicaidCO

Other names 1

  • Malcolm J Monlezun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Center of Colorado Past Accepting new patients
Primary Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
Alpine Anesthesia Professional LLC PastSince Jan 4, 2010 Accepting new patients
West Cal Anesthesia Associates Past Accepting new patients
Benchmark Anesthesia Consultants Professional LLC PastSince Mar 13, 2008 Accepting new patients
Banner Anesthesiologists West, LLC Past Accepting new patients
Colorado Personnel Resources Inc Past Accepting new patients

Organizations & group practices 9

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1861430928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 N 115TH ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048017",
            "telephone_number": "303-915-2269",
            "fax_number": "866-663-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 N 115TH ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048017",
            "telephone_number": "303-915-2269",
            "fax_number": "866-663-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONLEZUN",
        "first_name": "MALCOLM",
        "middle_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "160578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41535545",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALCOLM",
            "last_name": "MONLEZUN",
            "middle_name": "J",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.