NICHOLE DIANNE MONTINOLA
NPI 1154099794
Physician Assistant - Medical in Fresno, CA

Q: What is Nichole Dianne Montinola's NPI number?

The NPI number for Nichole Dianne Montinola is 1154099794. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Q: What is Nichole Dianne Montinola's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since August 30, 2021PECOS EnrolledAccepts Medicare Assignment

2823 FRESNO ST, FRESNO, CA 93721(559) 443-2682(559) 443-2681 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2023, Oct 17, 2022 (2 updates tracked since 2022).

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About Nichole Dianne Montinola NPPES

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

NICHOLE DIANNE MONTINOLA (NPI 1154099794) is an individual medical provider in Fresno, California, licensed in California (62133) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154099794

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICHOLE DIANNE MONTINOLA

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 443-2682

Fax(559) 443-2681

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 30, 2021

Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1154099794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 62133

Also ListedPhysician AssistantTaxonomy 363A00000X · License 62133 (CA)

2823 FRESNO ST, Fresno, CA 93721

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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

Nichole Dianne Montinola 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 ID5193196681

PECOS Enrollment IDI20230119002707

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.

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

17 services17 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

15 services13 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

11 services11 patients

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.

MICHELLE LEA STORKAN M.D.

Emergency Medicine