JASMINE MONTANEZ (APRN) – Nurse Practitioner, NPI 1023748803

JASMINE MONTANEZ (APRN) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11020150 (FL). The NPI Number for JASMINE MONTANEZ (APRN) is 1023748803

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JASMINE MONTANEZ (APRN)
NPI
1023748803
Phone
(321) 259-9500
Address
6619 N WICKHAM RD
Enumeration Date
14 June 2022
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3216224877
Graduation Year
2022 (4 years ago)
PAC ID
7012388085
Group Practice PAC ID
3476964438
Professional Enrollment ID
I20230131000025
Address ID
FL329407505ME3270XBLVD311
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JASMINE MONTANEZ (APRN)

  • 6619 N WICKHAM RD

    MELBOURNE, FL 329402006

    Phone: (321) 259-9500

    Fax: (321) 253-1777

    Type: Mailing

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 312-3328

    Type: Mailing

  • 1223 GATEWAY DR

    MELBOURNE, FL 329012607

    Phone: (321) 312-3328

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $703.

Total Amount is formed as General ($703) + Research ($0) + Ownership ($0) = $703.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ABBVIE INC. ($262).

Total Amount

$703

General + Research + Ownership

Payments

21

Total payment records

General Amount

$703

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230131000025INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476964438View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find JASMINE MONTANEZ (APRN)'s NPI?
You can confirm JASMINE MONTANEZ (APRN) with NPI 1023748803; it appears in the national provider directory.
Is JASMINE MONTANEZ (APRN) currently active in the NPI registry?
CMS-published data lists JASMINE MONTANEZ (APRN) as an active registrant.
What field does JASMINE MONTANEZ (APRN) work in?
You can think of JASMINE MONTANEZ (APRN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JASMINE MONTANEZ (APRN)?
We surface Melbourne, Florida for JASMINE MONTANEZ (APRN) based on available NPPES addresses.
What if Melbourne, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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