GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124805189

GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) is a healthcare provider. based in Belleville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, ARN, PMHNP-BC. They hold a License No. 2023062070 (MO). The NPI Number for GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) is 1124805189

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC)
NPI
1124805189
Phone
(815) 919-0054
Address
27 OAK KNOLL PL
Enumeration Date
13 September 2023
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6183984226
Graduation Year
2023 (3 years ago)
PAC ID
2264881168
Group Practice PAC ID
3870028251
Professional Enrollment ID
I20231216000204
Address ID
IL622082089FA141XXPLXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC)

  • 27 OAK KNOLL PL

    BELLEVILLE, IL 622231880

    Phone: (815) 919-0054

    Type: Mailing

  • 141 MARKET PL STE 100

    FAIRVIEW HEIGHTS, IL 622082089

    Phone: (618) 398-4226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231216000204INurse PractitionerILTBD
I20250710002727INurse PractitionerMOTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2928$0
90833Psychotherapy with evaluation and management visit, 30 minutes2523$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62223)

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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: 3870028251View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerMO
Nurse PractitionerIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerMO
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do I look up GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) by NPI?
Use NPI 1124805189 when you need to reference GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) in forms, claims, or directories.
Does this profile mean GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) is currently active?
Yes — GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) appears active in the national provider directory.
What field does GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) work in?
You can think of GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC)'s primary listing?
We display Belleville, Illinois because that is what the record indicates for GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC).
How can I contact GLENN AGAPE EDILLOR MONTERO (MSN, ARN, PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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