MRS. BOZENA BEATA MONTES (AGNP, ACNP) – Nurse Practitioner, NPI 1558778902
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. BOZENA BEATA MONTES (AGNP, ACNP)
3802 S 700 E
SALT LAKE CITY, UT 841061182
Phone: (801) 264-6000
Fax: (801) 564-6098
Type: Location
10437 S Jordan Gtwy
South Jordan, UT 840953915
Phone: (801) 503-9211
Fax: (801) 335-5957
Type: Location
763 W 700 S
Woods Cross, UT 840871438
Phone: (801) 292-2318
Fax: (801) 295-2556
Type: Location
654 S 900 E
SALT LAKE CITY, UT 841023478
Phone: (801) 322-5571
Type: Location
15024 S ROSE CREEK LN
HERRIMAN, UT 840963639
Phone: (773) 653-9622
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Braeburn Inc. ($27).
Total Amount
$55
General + Research + Ownership
Payments
4
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $27 |
| Kowa Pharmaceuticals America, Inc. | $15 |
| Indivior Inc. | $14 |
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: 2021-01-06
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 |
|---|---|---|---|---|
| I20210106000215 | I | Nurse Practitioner | UT | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 112 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 11 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 84106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN | |
| Internal Medicine | WA | |
| Internal Medicine | IA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | IL |
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