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KIMBERLY NESBITT MONTGOMERY FNP
NPI 1013979228
Nurse Practitioner - Family in Charlotte, NC

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
3030 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211(704) 512-5000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Sep 25, 2020, Aug 31, 2020 and 27 more (30 updates tracked since 2018).

About Kimberly Nesbitt Montgomery Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY NESBITT MONTGOMERY FNP (NPI 1013979228) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (201590) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013979228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY NESBITT MONTGOMERYCredential: FNP
Location Address3030 RANDOLPH RD, STE 200Charlotte, NC 28211-1368
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 512-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 15, 202430 updates tracked since enumeration
✔ NPI 1013979228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 201590
Also ListedNurse PractitionerTaxonomy 363L00000X · License 201590 (NC)
3030 RANDOLPH RD, Charlotte, NC 28211
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Nesbitt Montgomery Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406878768
PECOS Enrollment IDI20051229000739
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services62 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
78 services51 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
41 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
25%24 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%86 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
84%32 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%83 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%141 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
77%53 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE JONES BORDEAUX P.A.
Physician Assistant
3030 RANDOLPH RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-4450
PATRICIA ANN RYDER OTR/L
Occupational Therapist (Physical Rehabilitation)
3030 RANDOLPH RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-4420
KEVIN ROLANDO WILLIAMS PA
Physician Assistant
3030 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-5000
TEMITAYO ADETUNJI ADEGBAMIGBE MD
Family Medicine
3030 RANDOLPH RD, STE 102-A
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-5881
ASHLEY BRITT PHILLIPS PA
Physician Assistant
3030 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-5000
BRANDLYN NOFTSGER AGACNP-BC
Nurse Practitioner (Acute Care)
3030 RANDOLPH RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-4450
JUDY NASERIAN RUTTO FNP
Nurse Practitioner
3030 RANDOLPH RD, STE 102-A
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-5881
BETH SPANGENBERG TARKINGTON MD
Family Medicine
3030 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Montgomery's NPI number?

The NPI number for Kimberly Montgomery is 1013979228. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Kimberly Montgomery located?

Kimberly Montgomery practices at 3030 Randolph Rd Ste 200, Charlotte, NC 28211. The listed phone number is (704) 512-5000.

What is Kimberly Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Montgomery enrolled in Medicare?

Yes. Kimberly Montgomery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Montgomery accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Kimberly Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Montgomery affiliated with any hospitals?

According to CMS data, Kimberly Montgomery is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kimberly Montgomery was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.