MONIFA MONTIQUE – Primary Care Nurse Practitioner, NPI 1790188605

MONIFA MONTIQUE is a healthcare provider. based in Albany, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. 2013016513 (GA). The NPI Number for MONIFA MONTIQUE is 1790188605

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MONIFA MONTIQUE
NPI
1790188605
Phone
(229) 432-1440
Address
PO BOX 505
Enumeration Date
6 October 2014
Last Update Date
21 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2127346621
Graduation Year
2013 (13 years ago)
PAC ID
2163741661
Group Practice PAC ID
2961812425
Professional Enrollment ID
I20150505002053
Address ID
GA303444329EA1430XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MONIFA MONTIQUE

  • PO BOX 505

    ALBANY, GA 317020505

    Phone: (229) 432-1440

    Type: Mailing

  • 806 14TH AVE

    ALBANY, GA 317011394

    Phone: (229) 888-4093

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($31).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2015-05-05

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
I20150505002053INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes635180$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes473144$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes9088$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3736$0
99497Advance care planning, first 30 minutes3429$0
View full utilization report →

Insurance plans in this area (ZIP 31702)

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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: 2961812425View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerPA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is MONIFA MONTIQUE listed with a National Provider Identifier?
Yes — MONIFA MONTIQUE has NPI 1790188605 on file in the registry.
Is MONIFA MONTIQUE still an active registrant?
MONIFA MONTIQUE carries an active NPI according to the public dataset.
What expertise is attributed to MONIFA MONTIQUE?
MONIFA MONTIQUE's specialty line reads Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is MONIFA MONTIQUE registered?
Use Albany, Georgia as the headline location for MONIFA MONTIQUE here.
Can I trust this NPI listing for MONIFA MONTIQUE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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