MARIANA LEE MONTERO JAQUES MD
NPI 1003445545
Pediatrics in Madison, WI

Q: What is Mariana Montero Jaques's NPI number?

The NPI number for Mariana Montero Jaques is 1003445545. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Mariana Montero Jaques's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 06, 2020PECOS Enrolled

2402 WINNEBAGO ST, MADISON, WI 53704(608) 242-6855 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2022, Oct 2, 2020, Apr 6, 2020 (3 updates tracked since 2020).

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About Mariana Lee Montero Jaques Md NPPES

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

MARIANA LEE MONTERO JAQUES MD (NPI 1003445545) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (77648-20) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003445545

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARIANA LEE MONTERO JAQUESCredential: MD

Location Address2402 WINNEBAGO STMadison, WI 53704-5341

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 242-6855

Sole ProprietorNo

Enumeration DateApril 6, 2020

Last NPPES UpdateAugust 4, 20233 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1003445545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 77648-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2402 WINNEBAGO ST, Madison, WI 53704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariana Lee Montero Jaques Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 20

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

JACQUELINE SUE WOLFF-ELLIFSON

Nurse Practitioner