DONITA SUE DEMONTINEY PA-C
NPI 1811179211
Physician Assistant in Acoma, NM

Active since November 28, 2007PECOS Enrolled
80 B VETERANS BLVD, I-40, EXIT 102, ACOMA, NM 87034(505) 552-5300(505) 552-5828 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Donita Sue Demontiney Pa-c NPPES

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

DONITA SUE DEMONTINEY PA-C (NPI 1811179211) is an individual physician assistant in Acoma, New Mexico, licensed in South Dakota (0530) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811179211
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDONITA SUE DEMONTINEYCredential: PA-C
Location Address80 B VETERANS BLVD, I-40, EXIT 102Acoma, NM 87034
Mailing AddressPo Box 130, Attn Acl Provider EnrollmentSan Fidel, NM 87049-0130 · (505) 552-5300 · Fax (505) 552-5828
Fax(505) 552-5828
Sole ProprietorNo
Enumeration DateNovember 28, 2007
Last NPPES UpdateFebruary 2, 2015
NPI 1811179211 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 SD · 0530
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.

80 B VETERANS BLVD, Acoma, NM 87034

Other Identifiers 2

MedicaidH3451NM
Medicare OSCAR/certification320070NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Donita Sue Demontiney Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 87034 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Emergency Medical Technician, Paramedic
80 B VETERANS BLVD, ACL-IHS
ACOMA, NM 87034
Family Medicine
80 B VETERANS BLVD
PUEBLO OF ACOMA, NM 87034
Physician Assistant
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Physician Assistant
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Family Medicine
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Family Medicine
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
General Practice
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Family Medicine
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811179211, enumerated as an "individual" on November 28, 2007.

The provider is located at 80 B VETERANS BLVD I-40, EXIT 102 ACOMA, NM 87034 and the phone number is (505) 552-5300.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.