MARIA MARCELA MONTENEGRO CRNP
NPI 1003320359
Nurse Practitioner - Family in Baltimore, MD

Q: What is Maria Montenegro's NPI number?

The NPI number for Maria Montenegro is 1003320359. It was assigned to this individual provider in the NPPES registry on November 24, 2017.

Q: What is Maria Montenegro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Montenegro was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

16 S EUTAW ST FL 1, BALTIMORE, MD 21201(410) 328-5408(410) 328-1909 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2018, Nov 24, 2017 (2 updates tracked since 2017).

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About Maria Marcela Montenegro Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA MARCELA MONTENEGRO CRNP (NPI 1003320359) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R180269) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003320359

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIA MARCELA MONTENEGROCredential: CRNP

Location Address16 S EUTAW ST FL 1Baltimore, MD 21201-1606

Mailing Address306 W Redwood St Fl 4Baltimore, MD 21201-1708 · (667) 214-1720 · Fax (410) 706-6976

Phone(410) 328-5408

Fax(410) 328-1909

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 24, 2017

Last NPPES UpdateOctober 25, 20182 updates tracked since enumeration

✔ NPI 1003320359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R180269

16 S EUTAW ST FL 1, Baltimore, MD 21201

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Secondary Practice Location 1

Location 129 S Greene St Ste 200Baltimore, MD 21201-1504 · Phone (410) 328-3444

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Marcela Montenegro Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527329119

PECOS Enrollment IDI20240729001354

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers109 claims19,275 services$0.31 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers20 claims7,350 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers14 claims900 services$0.19 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers72 claims9,720 services$0.93 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

8 suppliers97 claims97 services$18.73 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

8 suppliers127 claims136 services$12.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA

Surgery (Surgical Oncology)