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MRS. CRYSTAL MARLEN MONTES FNP-C
NPI 1003359548
Nurse Practitioner in San Antonio, TX

Active since December 01, 2016PECOS EnrolledAccepts Medicare Assignment
75.82/100
CMS Quality Rating
9153 HUEBNER RD., SAN ANTONIO, TX 78240(210) 614-7414(210) 616-0509 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2023, Jun 14, 2017, Feb 1, 2017 (3 updates tracked since 2017).

About Mrs. Crystal Marlen Montes Fnp-c NPPES

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

MRS. CRYSTAL MARLEN MONTES FNP-C (NPI 1003359548) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP132415) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003359548
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CRYSTAL MARLEN MONTESCredential: FNP-C
Location Address9153 HUEBNER RD.San Antonio, TX 78240-1502
Mailing Address610 North Main, Second FloorSan Antonio, TX 78205-1204 · (210) 237-4444 · Fax (210) 828-5731
Phone(210) 614-7414
Fax(210) 616-0509
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 1, 2016
Last NPPES UpdateApril 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1003359548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP132415
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP132415 (TX)
9153 HUEBNER RD., San Antonio, TX 78240
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Other Identifiers 1

Medicaid369386301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Mrs. Crystal Marlen Montes Fnp-c 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 ID7517243140
PECOS Enrollment IDI20170417000377
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.75
Promoting Interoperability91
Improvement Activities40
Cost44.48

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%700 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%36 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
62%719 patients3/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%802 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%719 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%719 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. BOULOS TOURSARKISSIAN MD
Surgery (Vascular Surgery)
9153 HUEBNER RD.
SAN ANTONIO, TX 78240
Bexar County (210) 614-7414
DR. ALFRED L. LABORDE M.D.
Surgery (Vascular Surgery)
9153 HUEBNER RD.
SAN ANTONIO, TX 78240
Bexar County (210) 614-7414
SETH HARLON FRITCHER M.D.
Surgery (Vascular Surgery)
9153 HUEBNER RD.
SAN ANTONIO, TX 78240
Bexar County (210) 614-7414
MARK WENGROVITZ M.D.
Surgery (Vascular Surgery)
9153 HUEBNER RD.
SAN ANTONIO, TX 78240
Bexar County (210) 614-7414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Montes's NPI number?

The NPI number for Crystal Montes is 1003359548. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Crystal Montes located?

Crystal Montes practices at 9153 Huebner Rd., San Antonio, TX 78240. The listed phone number is (210) 614-7414.

What is Crystal Montes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Crystal Montes enrolled in Medicare?

Yes. Crystal Montes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Montes accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Crystal Montes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Crystal Montes affiliated with any hospitals?

According to CMS data, Crystal Montes is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Crystal Montes was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.