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Mrs. Patricia Hathway Montesinos, CRNP

(287 Ratings)

Specializes in: Family Medicine and Endocrinology

Professional interests include: thyroid cancer, insulin resistance, bioidentical hormone replacement therapy (BHRT), and more.

8600 Old Georgetown Road
Bethesda, MD 20814

(410) 396-7500

Mrs. Patricia Hathway Montesinos, CRNP is a nurse in Bethesda, MD specializing in family medicine and endocrinology. Mrs. Patricia Hathway Montesinos, CRNP is affiliated with MedStar Washington Hospital Center, MedStar Health and MEDSTAR MEDICAL GROUP II LLC.

Office Locations

Address:

8600 Old Georgetown Road
Bethesda, MD 20814

Some issues Mrs. Patricia Hathway Montesinos, CRNP can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

doctor visit	706
lab tests	17
preventive care	42
vaccines	42

**Gender**
Male	133
Female	218

**Ethnicity**
Non-Hispanic White	276
Black	50
Hispanic	0
Asian	11
Other	0
Native American	0

**Age**
From 65 to 74	160
From 75 to 84	131
85 and over	43
Less than 65	17

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	37
Depression	16
Chronic Kidney Disease	26
Asthma	6
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	8
Diabetes	70
Dementia	8
Cancer	10

doctor visit	493
preventive care	21
vaccines	21

**Gender**
Male	85
Female	164

**Ethnicity**
Non-Hispanic White	197
Black	37
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	109
From 75 to 84	82
85 and over	40
Less than 65	18

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	34
Depression	18
Chronic Kidney Disease	32
Asthma	8
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	17
Chronic Obstructive Pulmonary Disease	9
Diabetes	75
Dementia	10
Cancer	12

doctor visit	929
preventive care	104
vaccines	104

**Gender**
Male	290
Female	560

**Ethnicity**
Non-Hispanic White	670
Black	102
Hispanic	26
Asian	0
Other	30
Native American	0

**Age**
From 65 to 74	378
From 75 to 84	294
85 and over	112
Less than 65	66

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	29
Depression	21
Chronic Kidney Disease	35
Asthma	9
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	65
Dementia	10
Cancer	13

doctor visit	756
preventive care	57
vaccines	57

**Gender**
Male	120
Female	234

**Ethnicity**
Non-Hispanic White	276
Black	46
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	168
From 75 to 84	123
85 and over	38
Less than 65	25

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	34
Depression	18
Chronic Kidney Disease	53
Asthma	13
Osteoperosis	11
Atrial Fibrilation	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	8
Diabetes	75
Dementia	9
Cancer	13

doctor visit	641

**Gender**
Male	108
Female	229

**Ethnicity**
Non-Hispanic White	268
Black	37
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	148
From 75 to 84	118
85 and over	48
Less than 65	23

Hypertension	75
High Cholesterol	60
Stroke	9
Ischemic Heart Disease	34
Depression	21
Chronic Kidney Disease	54
Asthma	8
Osteoperosis	11
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	9
Diabetes	71
Dementia	9
Cancer	13

hospital care	18
inpatient care	18

**Gender**
Male	20
Female	22

**Ethnicity**
Non-Hispanic White	31
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	14
85 and over	11
Less than 65	0

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	67
Depression	60
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	52
Chronic Obstructive Pulmonary Disease	31
Diabetes	75
Dementia	36
Cancer	26

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	75
Depression	73
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	75
Dementia	0
Cancer	0

doctor visit	73

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Mrs. Patricia Hathway Montesinos, CRNP for Medicare patients.

The highest averages for the top procedures that Mrs. Patricia Hathway Montesinos, CRNP treated as a nurse in Bethesda, MD were preventive care, vaccines, hospital care and inpatient care.

doctor visit	600
hospital care	18
inpatient care	18
lab tests	17
preventive care	56
vaccines	56

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Mrs. Patricia Hathway Montesinos, CRNP.

**Gender**
Male	75
Female	142

**Ethnicity**
Black / African American	27
Asian / Pacific Islander	1
Non-Hispanic White	171
Native American / Alaskan Native	0
Hispanic	3
Other	4

**Age**
75 to 84	76
85 and over	29
Less than 65	14
65 to 74	96

Average of Total of Conditions of Medicare patients treated by Mrs. Patricia Hathway Montesinos, CRNP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Mrs. Patricia Hathway Montesinos, CRNP treated were hypertension, diabetes, high cholesterol and chronic kidney disease.

Hypertension	52
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	31
Depression	22
Chronic Kidney Disease	35
Asthma	4
Osteoporosis	5
Heart Failure	12
Chronic Obstructive Pulmonary Disease	7
Diabetes	50
Atrial Fibrillation	5
Cancer	8
Dementia	8

Education & Training

She has a state license in Maryland.

Licensed In: Maryland

Affiliations & Hospitals

Mrs. Patricia Hathway Montesinos, CRNP is associated with these hospitals and organizations:

MedStar Washington Hospital Center

MedStar Health

MEDSTAR MEDICAL GROUP II LLC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Mrs. Patricia Hathway Montesinos, CRNP appears to accept the following insurance providers: CIGNA Choice Fund PPO, MAMSI, First Health PPO, Blue Choice, Golden Rule, Great-West Healthcare, TRICARE, Community Care Network (CCN), Coventry, TRICARE Reserve Select, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Select, Kaiser Permanente, CIGNA EPO, Aetna Medicare PPO, CIGNA Indemnity, AARP, Medicare Advantage, Coventry National Network PPO, United Healthcare, Medicaid, Cigna, Virginia Premier Health Plan, WellPoint, Aetna, CIGNA Network Open Access, Private Healthcare Systems (PHCS), HealthyBlue PPO, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, CareFirst Maryland Indemnity or PPO, Traditional Medicare Fee for Service, United Optimum Choice Preferred (POS) & OCI Direct (HMO), Innovation Health: Open POS Plus, MedStar Family Choice DC Healthy Families, Carefirst EPO, Innovation Health: HMO & EPO Plus, United Community Plan - Maryland Health Choice Program, CareFirst Administrators, United Student Resources, United Select HMO - EPO/NPP, United MD IPA Preferred (POS), United Options (PPO) (includes Empire PPO), Uniformed Services Family Health Plan (USFHP), Innovation Health: Network Only Plus, United MD IPA (HMO), United Choice Plus, CareFirst Blue Card Program (Out-of-area BCBS plans), Innovation Health: PPO, HumanaChoice Honor's plan PPO, MedStar Family Choice DC Healthcare Alliance, United Choice, United Optimum Choice, Federal Employee Program (Std/Basic PPO/Blue Focus), Innovation Health: POS, Maryland Point of Service Plan (MPOS), Innovation Health: Open Network Only Plus, United Select Plus (POS), CareFirst BC/BS Advantage Core/Enhanced, United Erickson Advantage Plans, Priority Partners - Maryland Health Choice, Health Services for Children with Special Needs (HSCSN), Carefirst Healthy Blue (HMO/POS), D-SNP), I-SNP, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, United Core Essential (HMO), Innovation Health: POS Plus, HumanaChoice PPO, United Nursing Home Plan (C-SNP, Innovation Health: Open POS II, Innovation Health: Indemnity, United GEHA (for all other states) Compass Rose, Veterans Affairs Community Care Network, United Navigate, Carefirst Blue Preferred PPO, Police and Fire Clinic, Employee Health Plan (EHP) and CareFirst MedStar Select PPO.

Insurance Accepted by Provider includes:

According to our sources, Mrs. Patricia Hathway Montesinos, CRNP accepts the following insurance providers:

CIGNA Choice Fund PPO

MAMSI

First Health PPO

Blue Choice

Golden Rule

Great-West Healthcare

TRICARE

Community Care Network (CCN)

Coventry

TRICARE Reserve Select

Aetna Managed Choice POS

Beech Street PPO

Aetna HMO

Kaiser Select

Kaiser Permanente

CIGNA EPO

Aetna Medicare PPO

CIGNA Indemnity

AARP

Medicare Advantage

Coventry National Network PPO

United Healthcare

Medicaid

Cigna

Virginia Premier Health Plan

WellPoint

Aetna

CIGNA Network Open Access

Private Healthcare Systems (PHCS)

HealthyBlue PPO

MedStar Family Choice - Maryland Health Choice

CareFirst NASCO

CareFirst Maryland Indemnity or PPO

Traditional Medicare Fee for Service

United Optimum Choice Preferred (POS) & OCI Direct (HMO)

Innovation Health: Open POS Plus

MedStar Family Choice DC Healthy Families

Carefirst EPO

Innovation Health: HMO & EPO Plus

United Community Plan - Maryland Health Choice Program

CareFirst Administrators

United Student Resources

United Select HMO - EPO/NPP

United MD IPA Preferred (POS)

United Options (PPO) (includes Empire PPO)

Uniformed Services Family Health Plan (USFHP)

Innovation Health: Network Only Plus

United MD IPA (HMO)

United Choice Plus

CareFirst Blue Card Program (Out-of-area BCBS plans)

Innovation Health: PPO

HumanaChoice Honor's plan PPO

MedStar Family Choice DC Healthcare Alliance

United Choice

United Optimum Choice

Federal Employee Program (Std/Basic PPO/Blue Focus)

Innovation Health: POS

Maryland Point of Service Plan (MPOS)

Innovation Health: Open Network Only Plus

United Select Plus (POS)

CareFirst BC/BS Advantage Core/Enhanced

United Erickson Advantage Plans

Priority Partners - Maryland Health Choice

Health Services for Children with Special Needs (HSCSN)

Carefirst Healthy Blue (HMO/POS)

D-SNP)

I-SNP

CareFirst MedStar PPO

CareFirst (NCA) Indemnity

United Core Essential (HMO)

Innovation Health: POS Plus

HumanaChoice PPO

United Nursing Home Plan (C-SNP

Innovation Health: Open POS II

Innovation Health: Indemnity

United GEHA (for all other states) Compass Rose

Veterans Affairs Community Care Network

United Navigate

Carefirst Blue Preferred PPO

Police and Fire Clinic

Employee Health Plan (EHP)

CareFirst MedStar Select PPO

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Ratings & Reviews

Mrs. Patricia Hathway Montesinos, CRNP has an exceptional overall rating with an average of 4.9 out of 5 stars based on 287 ratings. We collect ratings and reviews of Mrs. Patricia Hathway Montesinos, CRNP from all over the web to help you find the right in Bethesda, MD.

4.9

Overall Rating

(287 Ratings)

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Biography

Ms. Patricia Montesinos works as a family medicine specialist in Bethesda, MD. Ms. Montesinos has obtained a license to practice in District of Columbia.