Individual provider Active NPI

Monique Dye

  • Primary Care Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1962153064
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95019445 Issued in CA
Practice address
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone
(805) 546-7600
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95019445 CA Primary

Addresses

Primary practice location

1010 Murray Ave
San Luis Obispo, CA 93405-1806

Mailing address

1000 South Washington Avenue
Suite # 1210
Minneapolis, MN 55401
Phone (805) 610-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220309002390 CA Practitioner - Nurse Practitioner 6406241421 Reassigns benefits to 2 organizations

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
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Lomelino Medical Group PCGroup PAC ID 3274718085, 5 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1320 Las Tablas Rd
Suite F
Templeton, CA 93465-9711
Phone (805) 434-0025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.31 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
72.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95019445CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists Medical Group CurrentSince Feb 1, 2022 Accepting new patients
Lomelino Medical Group PC CurrentSince Aug 20, 2024 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Feb 1, 2022 Accepting new patients

Locations

314 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 922-5655

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

1320 Las Tablas Rd
Ste F
Templeton, CA 93465
Phone (805) 434-0025

Interoperability endpoints

  • Direct secure messaging: monique.dye@228658002722820.direct.elationemr.com

Organizations & group practices 3

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.

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1962153064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTH WASHINGTON AVENUE",
            "address_2": "SUITE # 1210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "805-610-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MURRAY AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051806",
            "telephone_number": "805-546-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95019445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.