HERMAN MONTOYA (PA-C) – Physician Assistant, NPI 1346973484
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 PHYSICIAN ASSISTANT in NM
Provider Addresses for HERMAN MONTOYA (PA-C)
2211 Lomas Blvd NE
Albuquerque, NM 871062719
Phone: (505) 272-2111
Type: Location
3505 CALLE CUERVO NW APT 426
ALBUQUERQUE, NM 871149214
Phone: (505) 240-3317
Type: Mailing
500 SW 7TH ST STEA205
RENTON, WA 98057
Phone: (877) 522-1275
Fax: (833) 888-7145
Type: Mailing
8400 OSUNA RD NE STE 2D
ALBUQUERQUE, NM 871112069
Phone: (877) 522-1275
Fax: (833) 888-7145
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: 2025-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240416004078 | I | Physician Assistant | NM | TBD |
| I20251203001956 | I | Physician Assistant | WA | 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 87106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | MD | |
| - | CA | |
| - | WA | |
| - | MN | |
| Nurse Practitioner | MD | |
| Physician Assistant | WA | |
| - | MN | |
| - | AK | |
| Nurse Practitioner | WA |
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