BRYCE MONTALBO (APRN) – Nurse Practitioner, NPI 1639781123
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for BRYCE MONTALBO (APRN)
99-139 NAPUANANI RD # 3
AIEA, HI 967015412
Phone: (808) 351-2275
Type: Mailing
1329 LUSITANA ST STE 307
HONOLULU, HI 968132435
Phone: (808) 524-6115
Type: Location
17 Laa St Unit B
Kahului, HI 967323610
Phone: (808) 524-6115
Fax: (808) 528-1711
Type: Location
98-150 Kaonohi St Ste B219
Aiea, HI 967015022
Phone: (808) 539-2273
Fax: (884) 504-1315
Type: Location
95-446 KAAWELA PL
MILILANI, HI 967891414
Phone: (808) 351-2275
Type: Mailing
500 ALA MOANA BLVD STE 6230
HONOLULU, HI 968134929
Phone: (808) 524-6115
Fax: (808) 528-1711
Type: Location
PO BOX 750033
ATLANTA, GA 303747833
Phone: (855) 963-2100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 291 Open Payments records for all available years, with a total value of $6,991.
Total Amount is formed as General ($6,991) + Research ($0) + Ownership ($0) = $6,991.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Incyte Corporation ($620).
Total Amount
$6,991
General + Research + Ownership
Payments
291
Total payment records
General Amount
$6,991
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $620 |
| Janssen Biotech, Inc. | $419 |
| AstraZeneca Pharmaceuticals LP | $373 |
| Astellas Pharma US Inc | $332 |
| E.R. Squibb & Sons, L.L.C. | $215 |
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: 2024-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240808002280 | I | Nurse Practitioner | HI | TBD |
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.
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 96701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Medical Oncology, Hematology/Oncology | HI | |
| Hematology/Oncology, Internal Medicine | HI | |
| Hematology, Internal Medicine | HI | |
| Hematology/Oncology, Internal Medicine | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | HI |
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