TYANNA K MONTIJO AGACNP-BC NPI 1710575097

NPI Information

  • NPI: 1710575097
  • Provider Name: TYANNA K MONTIJO, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5555 E BASELINE RD
    MESA, AZ
    ZIP 85206
  • Phone: (480) 393-0575

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NPI Details

Tyanna K Montijo, AGACNP-BC is an acute care nurse practitioner in Mesa, AZ. Tyanna K Montijo, AGACNP-BC NPI is 1710575097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5555 E BASELINE RD
MESA, AZ
ZIP 85206-709
Phone: (480) 393-0575

The NPI 1710575097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Administration of chemotherapy into growth, 1-7 (HCPCS:96405)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)

The enumeration date for this NPI number is 1/4/2021 and was last updated on 8/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care251194ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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