COLETTE MONTONI
NPI 1336696053
Nurse Practitioner in Gloucester, MA

Active since September 10, 2016PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
1 BLACKBURN DR, GLOUCESTER, MA 01930(978) 281-1500 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colette Montoni NPPES

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

COLETTE MONTONI (NPI 1336696053) is an individual nurse practitioner in Gloucester, Massachusetts, licensed in Massachusetts (RN2263095) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1336696053
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOLETTE MONTONI
Location Address1 BLACKBURN DRGloucester, MA 01930-2237
Mailing Address6 Traverse StGloucester, MA 01930-3232
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 10, 2016
Last NPPES UpdateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
NPI 1336696053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MA · RN2263095 Licensed in MA · AG0716105
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 BLACKBURN DR, Gloucester, MA 01930

Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-2237 · Phone (781) 744-8000

Accepted 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

Colette Montoni 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 ID2769766476
PECOS Enrollment IDI20170224000689
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 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.
167 services134 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.
77 services67 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.
29 services29 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
28 services26 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
19 services19 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01930 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery
1 BLACKBURN DR
GLOUCESTER, MA 01930
Physician Assistant
1 BLACKBURN DR
GLOUCESTER, MA 01930
Nurse Practitioner (Family)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Nurse Practitioner (Primary Care)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Nurse Practitioner
1 BLACKBURN DR
GLOUCESTER, MA 01930
Nurse Practitioner
1 BLACKBURN DR
GLOUCESTER, MA 01930
Internal Medicine
1 BLACKBURN DR
GLOUCESTER, MA 01930
Internal Medicine (Hematology)
1 BLACKBURN DR
GLOUCESTER, MA 01930

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 Colette Montoni's NPI number?

The NPI number for Colette Montoni is 1336696053. It was assigned to this individual provider in the NPPES registry on September 10, 2016.

Where is Colette Montoni located?

Colette Montoni practices at 1 Blackburn Dr, Gloucester, MA 01930. The listed phone number is (978) 281-1500.

What is Colette Montoni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Colette Montoni enrolled in Medicare?

Yes. Colette Montoni 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 Colette Montoni accept?

Health plans from Anthem Blue Cross and Blue Shield list Colette Montoni 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 Colette Montoni affiliated with any hospitals?

According to CMS data, Colette Montoni is affiliated with Northeast Hospital Corporation and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Colette Montoni was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.