AMANDA N MONTONI
NPI 1831858992
Nurse Practitioner - Acute Care in Royal Oak, MI

Active since December 15, 2021PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-4021(248) 898-1473 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2023, Oct 3, 2022, Dec 15, 2021 (3 updates tracked since 2021).

About Amanda N Montoni NPPES

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

AMANDA N MONTONI (NPI 1831858992) is an individual acute care provider in Royal Oak, Michigan, licensed in Michigan (4704329538) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dearborn Heights, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831858992
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMANDA N MONTONI
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Fax(248) 898-1473
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 15, 2021
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1831858992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704329538
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704329538 (MI)
3601 W 13 MILE RD, Royal Oak, MI 48073

Secondary Practice Location 1

Location 11329 Whitefield StDearborn Heights, MI 48127-3418 · Phone (313) 663-0052

Accepted Insurance

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

Amanda N Montoni 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 ID9638545924
PECOS Enrollment IDI20221011001741
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 Reassignments

2

Medicare enrollment records show Amanda Montoni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
5823 MIDDLEBELT RD
Garden City, MI 48135
  • Reassigned Medicare billing, Michigan enrollment
  • 17 clinicians in this Medicare group
Physician Assistant
2333 BIDDLE AVE
Wyandotte, MI 48192
  • Reassigned Medicare billing, Michigan enrollment
  • 197 clinicians in this Medicare group

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 3

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.

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.
148 services59 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.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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 Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Amanda Montoni's NPI number?

The NPI number for Amanda Montoni is 1831858992. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Amanda Montoni located?

Amanda Montoni practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-4021.

What is Amanda Montoni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amanda Montoni enrolled in Medicare?

Yes. Amanda Montoni 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.

Which organizations bill Medicare for Amanda Montoni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Montoni reassigns Medicare benefits to 2 organizations: Apollo Hospitalist Group (Garden City, MI) and Henry Ford Wyandotte Hospital (Wyandotte, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Montoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Montoni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Amanda Montoni 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.

When was this NPI record last updated?

The NPPES record for Amanda Montoni was last updated on March 17, 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.