FREDDY L MONTENEGRO NP
NPI 1306141213
Nurse Practitioner - Family in Mesa, AZ

Q: What is Freddy Montenegro's NPI number?

The NPI number for Freddy Montenegro is 1306141213. It was assigned to this individual provider in the NPPES registry on January 24, 2011.

Q: What is Freddy Montenegro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Freddy Montenegro was last updated on October 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.

Active since January 24, 2011PECOS EnrolledAccepts Medicare Assignment

616 E SOUTHERN AVE STE 103, MESA, AZ 85204(602) 569-3999(602) 569-3887 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2019, Jan 31, 2019 (2 updates tracked since 2019).

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About Freddy L Montenegro Np NPPES

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

FREDDY L MONTENEGRO NP (NPI 1306141213) is an individual family provider in Mesa, Arizona, licensed in Arizona (AP5467) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1306141213

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameFREDDY L MONTENEGROCredential: NP

Location Address616 E SOUTHERN AVE STE 103Mesa, AZ 85204

Mailing Address1533 E Willetta StPhoenix, AZ 85006-2935 · (602) 569-3999 · Fax (602) 569-3887

Phone(602) 569-3999

Fax(602) 569-3887

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 24, 2011

Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration

✔ NPI 1306141213 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

Licenses✔ Licensed in AZ · AP5467✔ Licensed in CA · 19900

Also ListedNurse PractitionerTaxonomy 363L00000X · License 19900 (CA)

616 E SOUTHERN AVE STE 103, Mesa, AZ 85204

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Secondary Practice Location 1

Location 19328 E Raintree DrScottsdale, AZ 85260-2098 · Phone (602) 266-8463 · Fax (602) 266-0122

Other Identifiers 1

Medicaid890635AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Freddy L Montenegro Np 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 ID4082847009

PECOS Enrollment IDI20140428002080

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 2

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 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.

32 services22 patients

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.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 8

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

ERICK TORRES FNP

Nurse Practitioner (Family)