LAUREN THERESA MONTALVO
NPI 1366203648
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since January 23, 2024PECOS EnrolledAccepts Medicare Assignment
2600 N AMERICAN ST, PHILADELPHIA, PA 19133(201) 560-6454 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2026, Jan 23, 2026, May 14, 2025 (3 updates tracked since 2025).

About Lauren Theresa Montalvo NPPES

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

LAUREN THERESA MONTALVO (NPI 1366203648) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP033261) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Norwell.

NPPES Registry Identity

NPI1366203648
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN THERESA MONTALVO
Location Address2600 N AMERICAN STPhiladelphia, PA 19133-3413
Mailing Address2600 N American StPhiladelphia, PA 19133-3413 · (201) 560-6454
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2025
Enumeration DateJanuary 23, 2024
Last NPPES UpdateMarch 29, 20263 updates tracked since enumeration
NPPES CertifiedMarch 29, 2026
NPI 1366203648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in PA · SP033261
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP029145 (PA)
2600 N AMERICAN ST, Philadelphia, PA 19133

Secondary Practice Location 1

Location 118 Dover St Unit 18Norwell, MA 02061-0305 · Phone (508) 296-0875

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

Lauren Theresa Montalvo 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 ID3678919362
PECOS Enrollment IDI20240318000009, I20250520000301
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 4

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.
154 services144 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 13

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

Nurse Practitioner (Psychiatric/Mental Health)
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Pharmacy (Long Term Care Pharmacy)
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Clinic/Center (Federally Qualified Health Center (FQHC))
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Nurse Practitioner (Psychiatric/Mental Health)
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Nurse Practitioner (Psychiatric/Mental Health)
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Licensed Practical Nurse
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Community/Behavioral Health
2600 N AMERICAN ST
PHILADELPHIA, PA 19133
Licensed Practical Nurse
2600 N AMERICAN ST
PHILADELPHIA, PA 19133

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 Lauren Montalvo's NPI number?

The NPI number for Lauren Montalvo is 1366203648. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Lauren Montalvo located?

Lauren Montalvo practices at 2600 N American St, Philadelphia, PA 19133. The listed phone number is (201) 560-6454.

What is Lauren Montalvo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Montalvo enrolled in Medicare?

Yes. Lauren Montalvo 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 Lauren Montalvo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lauren Montalvo 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 Lauren Montalvo affiliated with any hospitals?

According to CMS data, Lauren Montalvo is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Montalvo was last updated on March 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.