Individual provider Active NPI

Nicol Montez, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1871016394
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10362 Issued in AZ
Practice address
340 E Palm LN # A175
Phoenix, AZ 85004-4603
Phone
(602) 386-1100
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10362 AZ Primary

Addresses

Primary practice location

340 E Palm LN # A175
Phoenix, AZ 85004-4603

Mailing address

340 E Palm LN # A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170825001621 AZ Practitioner - Nurse Practitioner 4385916352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score
77.24 of 100Reported as group
Quality
66.21
Improvement activities
40
Cost
66.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10362AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Dec 16, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 16, 2024 Accepting new patients
Honorhealth Ambulatory PastSince Aug 25, 2024 Accepting new patients
Thompson Peak Family Care, PC PastSince Aug 25, 2024 Accepting new patients

Locations

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

340 E Palm Ln
Ste A175
Phoenix, AZ 85004
Phone (602) 386-1100

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20201 N Scottsdale Healthcare Dr
Ste 200
Scottsdale, AZ 85255
Phone (480) 993-2269

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3660/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicol.montez@57560418353156.direct.elationemr.com
  • Direct secure messaging: nicol.montez@75623782744068.direct.elationemr.com

Organizations & group practices 5

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 1

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1871016394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E PALM LN # A175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-386-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E PALM LN # A175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-386-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEZ",
        "first_name": "NICOL",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.