SHELBYLAYN MONTILLA
NPI 1639045131
Physician Assistant in Bridgeport, CT

Active since October 13, 2025PECOS Enrolled
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 330-6000 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelbylayn Montilla NPPES

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

SHELBYLAYN MONTILLA (NPI 1639045131) is an individual physician assistant in Bridgeport, Connecticut, licensed in Massachusetts (PA102004) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639045131
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBYLAYN MONTILLA
Location Address968 FAIRFIELD AVEBridgeport, CT 06605-1116
Mailing Address968 Fairfield AveBridgeport, CT 06605-1116 · (203) 330-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 13, 2025
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1639045131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA102004
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

968 FAIRFIELD AVE, Bridgeport, CT 06605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelbylayn Montilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385121888
PECOS Enrollment IDI20260127000639
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06605 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

Nurse Practitioner (Family)
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Mental Health)
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Pediatrics
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Professional)
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Psychiatry & Neurology (Psychiatry)
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Social Worker
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605

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 Shelbylayn Montilla's NPI number?

The NPI number for Shelbylayn Montilla is 1639045131. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Shelbylayn Montilla located?

Shelbylayn Montilla practices at 968 Fairfield Ave, Bridgeport, CT 06605. The listed phone number is (203) 330-6000.

What is Shelbylayn Montilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelbylayn Montilla enrolled in Medicare?

Yes. Shelbylayn Montilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelbylayn Montilla was last updated on October 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.