Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003445545 Individual Practitioner Female Practitioner

Dr. Mariana Lee Montero Jaques , MD

Pediatrics • Madison, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mariana Montero Jaques, MD is a registered healthcare professional specializing in Pediatrics in Madison, WI. Practice services are available at 2402 WINNEBAGO ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2402 Winnebago St

Madison, WI 537045341

Telephone 6082426855
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.8 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
194 Specialists

Practicing in Madison, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 77648-20

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1023212073

Doctor of Medicine (M.D.)

Dr. Elizabeth Poi , MD

Family Medicine

NPI 1043317290

Doctor of Medicine (M.D.)

Neszta Wahmhoff , PA-C

Physician Assistant - Medical

NPI 1053542704

Physician Assistant (Certified)

NPI 1083635700

Doctor of Medicine (M.D.)

Nathan Gorman

Family Medicine

NPI 1134758097
David Erickson , NP

Nurse Practitioner - Family

NPI 1144206715

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 04, 2023

Registered at 2402 WINNEBAGO ST, MADISON, WI 537045341 (Tel: 6082426855)

📍
Updated Business Mailing Address August 04, 2023

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

NPI Profile Active April 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2020

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

📍
Updated Business Mailing Address April 06, 2020

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001

👤
Provider Name / Credentials Updated April 06, 2020

Recorded as MARIANA MONTERO JAQUES, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003445545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2020
Last Update: August 04, 2023
Sole Proprietor: No

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.