JENNELEA R MONTANEZ (PA) – Medical Physician Assistant, NPI 1366535049
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for JENNELEA R MONTANEZ (PA)
California Street, Omaha, Douglas County, Nebraska, 68132, United States
STE 100
OMAHA, NE 681545335
Phone: (402) 496-0404
Fax: (402) 496-0517
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 189 Open Payments records for all available years, with a total value of $3,866.
Total Amount is formed as General ($3,866) + Research ($0) + Ownership ($0) = $3,866.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($1,172).
Total Amount
$3,866
General + Research + Ownership
Payments
189
Total payment records
General Amount
$3,866
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,172 |
| Boston Scientific Corporation | $465 |
| PFIZER INC. | $192 |
| Averitas Pharma Inc. | $152 |
| SI-BONE, INC. | $132 |
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: 2006-10-24
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 |
|---|---|---|---|---|
| I20061024000162 | I | Physician Assistant | NE | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 24 | $0 |
Insurance plans in this area (ZIP 68154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Pain Management | NE | |
| Physician Assistant | NE | |
| Pain Management, Anesthesiology | NE | |
| Physician Assistant | NE |
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