JENNY MARIBEL MONTEJO MD
NPI 1053358655
Pediatrics - Pediatric Allergy/Immunology in Rochester, MN

Active since June 01, 2006PECOS Enrolled
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2021, Aug 18, 2020, Dec 3, 2019 and 1 more (4 updates tracked since 2019).

About Jenny Maribel Montejo Md NPPES

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

JENNY MARIBEL MONTEJO MD (NPI 1053358655) is an individual pediatric allergy/immunology provider in Rochester, Minnesota, licensed in Minnesota (66467) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Northville.

NPPES Registry Identity

NPI1053358655
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameJENNY MARIBEL MONTEJOCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 16, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1053358655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in MN · 66467
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 4301075789 (MI), 66467 (MN)
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 4301075789 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 75082 (WI), 4301075789 (MI), 66467 (MN)
200 1ST ST SW, Rochester, MN 55905

Other Names 1

Other Name (5)Jenny Maribel Montejo Gamarra

Secondary Practice Location 1

Location 139901 Traditions Drive, Suite 210Northville, MI 48168 · Phone (734) 432-7811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Maribel Montejo 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jenny Montejo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,003 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Jenny Montejo's NPI number?

The NPI number for Jenny Montejo is 1053358655. It was assigned to this individual provider in the NPPES registry on June 1, 2006. The provider is also known as Jenny Maribel Montejo Gamarra.

Where is Jenny Montejo located?

Jenny Montejo practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Jenny Montejo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Jenny Montejo enrolled in Medicare?

Yes. Jenny Montejo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenny Montejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Montejo reassigns Medicare benefits to 2 organizations: Mayo Clinic (Rochester, MN) and Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenny Montejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenny Montejo was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.