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CLAIRE MONTOYA DNP
NPI 1063137719
Nurse Practitioner - Family in Omaha, NE

Active since October 05, 2022PECOS EnrolledAccepts Medicare Assignment
4220 L ST, OMAHA, NE 68107(402) 733-4433(402) 733-1220 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2025, Oct 5, 2022 (2 updates tracked since 2022).

About Claire Montoya Dnp NPPES

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

CLAIRE MONTOYA DNP (NPI 1063137719) is an individual family provider in Omaha, Nebraska, licensed in Nebraska (114435) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1063137719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAIRE MONTOYACredential: DNP
Location Address4220 L STOmaha, NE 68107-1048
Mailing Address7261 Mercy RdOmaha, NE 68124-2311
Phone(402) 733-4433
Fax(402) 733-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 5, 2022
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1063137719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NE · 114435
Also ListedNurse PractitionerTaxonomy 363L00000X · License 114435 (NE)
4220 L ST, Omaha, NE 68107
Open in Google Maps ↗

Secondary Practice Location 1

Location 1350 W 23rd StFremont, NE 68025-2592 · Phone (402) 721-7077 · Fax (402) 721-7324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company.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

Claire Montoya Dnp 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 ID749666063
PECOS Enrollment IDI20221010002261
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 8

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.
204 services158 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.
174 services123 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
92 services74 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
51 services49 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
37 services34 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 19

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

EMILY CLAIRE STATES PA-C
Physician Assistant
4220 L ST
OMAHA, NE 68107
Douglas County (402) 717-7050
YULIA REYES APRN
Nurse Practitioner (Family)
4220 L ST
OMAHA, NE 68107
Douglas County (402) 733-4433
NATHAN THOMAS SHANK APRN
Nurse Practitioner (Family)
4220 L ST
OMAHA, NE 68107
Douglas County (402) 733-4433
SCOTT PAUL JAKOPOVIC PHARMD
Pharmacist
4220 L ST
OMAHA, NE 68107
Douglas County (402) 717-7055
JULIE ROTHLISBERGER-CASTILLO M.D.
Internal Medicine
4220 L ST, SUITE 100
OMAHA, NE 68107
Douglas County (402) 733-4433
ALEGENT CREIGHTON HEALTH
Pharmacy (Community/Retail Pharmacy)
4220 L ST
OMAHA, NE 68107
Douglas County (402) 717-7055
DR. WOLFGANG FABIO RODRIGUEZ M.D.
Family Medicine
4220 L ST
OMAHA, NE 68107
Douglas County (402) 733-4433
DR. ANDREA MARCIA HERMAN M.D.
Family Medicine
4220 L ST, SUITE 100
OMAHA, NE 68107
Douglas County (402) 733-4433

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 Claire Montoya's NPI number?

The NPI number for Claire Montoya is 1063137719. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Claire Montoya located?

Claire Montoya practices at 4220 L St, Omaha, NE 68107. The listed phone number is (402) 733-4433.

What is Claire Montoya's specialty?

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

Is Claire Montoya enrolled in Medicare?

Yes. Claire Montoya 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 Claire Montoya accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Claire Montoya 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 Claire Montoya affiliated with any hospitals?

According to CMS data, Claire Montoya is affiliated with Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Claire Montoya was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.