CLARIBEL MARIA MONTILLA RODRIGUEZ FNP-BC
NPI 1396986212
Nurse Practitioner - Family in New Market, MD

Active since March 24, 2009PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
5414 ROTARY AVE, NEW MARKET, MD 21774(301) 865-0019(301) 865-0020 Get Directions Write a Review

NPPES record last updated: February 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2022, Jun 10, 2020 (2 updates tracked since 2020).

About Claribel Maria Montilla Rodriguez Fnp-bc NPPES

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

CLARIBEL MARIA MONTILLA RODRIGUEZ FNP-BC (NPI 1396986212) is an individual family provider in New Market, Maryland, licensed in Maryland (R113839) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396986212
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLARIBEL MARIA MONTILLA RODRIGUEZCredential: FNP-BC
Location Address5414 ROTARY AVENew Market, MD 21774-6117
Mailing Address5414 Rotary AveNew Market, MD 21774-6117 · (301) 865-0019
Fax(301) 865-0020
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 24, 2009
Last NPPES UpdateFebruary 6, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2022
NPI 1396986212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R113839
5414 ROTARY AVE, New Market, MD 21774

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

Claribel Maria Montilla Rodriguez Fnp-bc 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 ID4183777337
PECOS Enrollment IDI20090922000749, I20110907001217
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 6

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.
105 services93 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
69 services69 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
65 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
17 services17 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21774 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
5414 ROTARY AVE
NEW MARKET, MD 21774
Pharmacist
5414 ROTARY AVE
NEW MARKET, MD 21774
Pharmacist
5414 ROTARY AVE
NEW MARKET, MD 21774
Pharmacist
5414 ROTARY AVE
NEW MARKET, MD 21774
Nurse Practitioner (Family)
5414 ROTARY AVE
NEW MARKET, MD 21774
Pharmacist
5414 ROTARY AVE
NEW MARKET, MD 21774
Nurse Practitioner (Family)
5414 ROTARY AVE
NEW MARKET, MD 21774
Pharmacist
5414 ROTARY AVE
NEW MARKET, MD 21774

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 Claribel Montilla Rodriguez's NPI number?

The NPI number for Claribel Montilla Rodriguez is 1396986212. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Claribel Montilla Rodriguez located?

Claribel Montilla Rodriguez practices at 5414 Rotary Ave, New Market, MD 21774. The listed phone number is (301) 865-0019.

What is Claribel Montilla Rodriguez's specialty?

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

Is Claribel Montilla Rodriguez enrolled in Medicare?

Yes. Claribel Montilla Rodriguez 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.

When was this NPI record last updated?

The NPPES record for Claribel Montilla Rodriguez was last updated on February 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.