KRYSTALYNA MONTANO – Physician Assistant, NPI 1477030989

KRYSTALYNA MONTANO is a healthcare provider. based in Johnston, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA55757 (CA). The NPI Number for KRYSTALYNA MONTANO is 1477030989

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTALYNA MONTANO
NPI
1477030989
Phone
(401) 404-2975
Address
1526 Atwood Ave Ste 200
Enumeration Date
26 July 2018
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034134488
Graduation Year
2017 (9 years ago)
PAC ID
4981945797
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20211201002136
Address ID
OR972271682PO450XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
kmontano@sjgh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

780 PHYSICIAN ASSISTANT in RI

Provider Addresses for KRYSTALYNA MONTANO

  • 1526 Atwood Ave Ste 200

    Johnston, RI 029193289

    Phone: (401) 404-2975

    Type: Location

  • 791 1/2 EL CENTRO RD

    EL SOBRANTE, CA 948031705

    Phone: (510) 374-9802

    Type: Mailing

  • West Hospital Road, French Camp, San Joaquin County, California, 95231, United States

    FRENCH CAMP, CA 952319693

    Phone: (209) 468-7173

    Type: Location

  • 609 E Orangeburg Ave Ste 201

    Modesto, CA 953505512

    Phone: (510) 374-9802

    Type: Location

  • 450 N GRAHAM ST

    PORTLAND, OR 972271682

    Phone: (503) 413-4488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Innovation Technologies Inc ($125).

Total Amount

$156

General + Research + Ownership

Payments

2

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2024-08-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190404000799IPhysician AssistantCATBD
I20211201002136IPhysician AssistantORTBD
I20240828001508IPhysician AssistantRITBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7415$0
20610Aspiration and/or injection of fluid from large joint3726$0
99214Established patient office or other outpatient visit, 30-39 minutes1715$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 02919)

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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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Physician AssistantOR
Internal MedicineOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR
Internal MedicineOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is there an official ID for KRYSTALYNA MONTANO in U.S. healthcare records?
The official identifier for KRYSTALYNA MONTANO is NPI 1477030989.
Is there an active status for KRYSTALYNA MONTANO?
For scheduling context, KRYSTALYNA MONTANO is shown as active in the registry.
What clinical focus is listed for KRYSTALYNA MONTANO?
At a glance, KRYSTALYNA MONTANO is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KRYSTALYNA MONTANO associated with Johnston?
Public fields place KRYSTALYNA MONTANO around Johnston, Rhode Island. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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