MONTIA MCINTOSH (MSN, APRN-C, FAANP) – Nurse Practitioner, NPI 1245636067

MONTIA MCINTOSH (MSN, APRN-C, FAANP) is a healthcare provider. based in Fort lauderdale, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN-C, FAANP. They hold a License No. 9207422 (FL). The NPI Number for MONTIA MCINTOSH (MSN, APRN-C, FAANP) is 1245636067

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MONTIA MCINTOSH (MSN, APRN-C, FAANP)
NPI
1245636067
Phone
(954) 832-0055
Address
1625 SE 3RD AVE STE 400
Enumeration Date
5 November 2014
Last Update Date
21 May 2020

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
5612632234
Graduation Year
2014 (12 years ago)
PAC ID
4880016799
Group Practice PAC ID
3678733342
Professional Enrollment ID
I20200623002255
Address ID
FL334587205JU1210XHWYX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MONTIA MCINTOSH (MSN, APRN-C, FAANP)

  • 1625 SE 3RD AVE STE 400

    FORT LAUDERDALE, FL 333162521

    Phone: (954) 832-0055

    Fax: (954) 832-0063

    Type: Location

  • 1625 SE 3RD AVE

    SUITE #400

    FORT LAUDERDALE, FL 33316

    Phone: (954) 832-0055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $724.

Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Inari Medical, Inc. ($194).

Total Amount

$724

General + Research + Ownership

Payments

23

Total payment records

General Amount

$724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

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: 2020-06-23

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
I20200623002255INurse 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 33316)

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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: 3678733342View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
-FL
Nurse PractitionerFL
-FL
Internal MedicineNV
Cardiovascular Disease (Cardiology)PR
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

How do payers reference MONTIA MCINTOSH (MSN, APRN-C, FAANP)?
For MONTIA MCINTOSH (MSN, APRN-C, FAANP), use NPI 1245636067 as the unique 10-digit identifier.
Is MONTIA MCINTOSH (MSN, APRN-C, FAANP) still an active registrant?
MONTIA MCINTOSH (MSN, APRN-C, FAANP) carries an active NPI according to the public dataset.
How would a patient describe MONTIA MCINTOSH (MSN, APRN-C, FAANP)'s focus?
For MONTIA MCINTOSH (MSN, APRN-C, FAANP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MONTIA MCINTOSH (MSN, APRN-C, FAANP)?
Directory geography for MONTIA MCINTOSH (MSN, APRN-C, FAANP) centers on Fort Lauderdale, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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