ALICIA HELEN MONTOYA
NPI 1518686948
Nurse Practitioner - Family in Flat Rock, NC

Q: What is Alicia Montoya's NPI number?

The NPI number for Alicia Montoya is 1518686948. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Alicia Montoya'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 Alicia Montoya was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment

571 S ALLEN RD, FLAT ROCK, NC 28731(828) 692-6178(828) 692-2365 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 3, 2023, Oct 11, 2022, Aug 29, 2022 (3 updates tracked since 2022).

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About Alicia Helen Montoya NPPES

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

ALICIA HELEN MONTOYA (NPI 1518686948) is an individual family provider in Flat Rock, North Carolina, licensed in North Carolina (5018007) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518686948

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALICIA HELEN MONTOYA

Location Address571 S ALLEN RDFlat Rock, NC 28731-9447

Mailing Address571 S Allen RdFlat Rock, NC 28731-9447 · (828) 692-6178 · Fax (828) 692-2365

Phone(828) 692-6178

Fax(828) 692-2365

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 29, 2022

Last NPPES UpdateMay 3, 20233 updates tracked since enumeration

NPPES CertifiedMay 3, 2023

✔ NPI 1518686948 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 NC · 5018007✔ Licensed in FL · 11021511

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5018007 (NC)

571 S ALLEN RD, Flat Rock, NC 28731

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Helen Montoya 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 ID1355708744

PECOS Enrollment IDI20251205001030

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.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Montoya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gulfside Palliative Care, LLC

487 mi

Case Manager/Care Coordinator

5760 DEAN DAIRY RD
Zephyrhills, FL 33541

Reassigned Medicare billing, Florida enrollment
26 clinicians in this Medicare group

NPI 1750531489 (813) 501-8201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

367 services238 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

291 services191 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

152 services141 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

16 services15 patients

Advance care planning, each additional 30 minutes 99498

Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28731 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

DANIELL MILLER GOLD

Nurse Practitioner