MRS. JACLYN NICOLE MONTGOMERY APRN, FNP-BC
NPI 1043917297
Nurse Practitioner - Family in Cleveland, TN

Q: What is Jaclyn Montgomery's NPI number?

The NPI number for Jaclyn Montgomery is 1043917297. It was assigned to this individual provider in the NPPES registry on February 8, 2023. The provider is also known as Jaclyn Nicole Helton.

Q: What is Jaclyn Montgomery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Montgomery was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since February 08, 2023PECOS EnrolledAccepts Medicare Assignment

110 DUNHILL PL NW, CLEVELAND, TN 37311(423) 476-2212(423) 476-7022 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Mar 5, 2025, Oct 12, 2024 and 3 more (6 updates tracked since 2023).

On this page

About Mrs. Jaclyn Nicole Montgomery Aprn, Fnp-bc NPPES

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

MRS. JACLYN NICOLE MONTGOMERY APRN, FNP-BC (NPI 1043917297) is an individual family provider in Cleveland, Tennessee, licensed in Tennessee (33639) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Tennova Health Care-cleveland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043917297

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JACLYN NICOLE MONTGOMERYCredential: APRN, FNP-BC

Location Address110 DUNHILL PL NWCleveland, TN 37311-3866

Mailing Address110 Dunhill Pl NwCleveland, TN 37311-3866

Phone(423) 476-2212

Fax(423) 476-7022

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 8, 2023

Last NPPES UpdateMay 12, 20266 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1043917297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 33639

110 DUNHILL PL NW, Cleveland, TN 37311

Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn Nicole Helton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jaclyn Nicole Montgomery Aprn, Fnp-bc 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 ID4183089394

PECOS Enrollment IDI20230421002175

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.

Medicare Billing Reassignments

Medicare enrollment records show Jaclyn Montgomery reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Pulmonary Medicine, PC

Same address

Pulmonary Disease

110 DUNHILL PL NW
Cleveland, TN 37311

Reassigned Medicare billing, Tennessee enrollment
6 clinicians in this Medicare group

NPI 1487601019 (423) 476-2212

Fast Pace Medical Clinic PLLC

120 mi

Family Medicine

3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174

Reassigned Medicare billing, Tennessee enrollment
985 clinicians in this Medicare group

NPI 1134452865 (931) 487-1006

Southeastern Emergency Physicians LLC

246 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Tennessee enrollment
1,071 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

144 services69 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

72 services69 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

56 services53 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

29 services13 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.

27 services23 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

20 services19 patients

Hospital Affiliations CMS Care Compare

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

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440185

Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 9

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

AHMAD MACHHOUR IBRAHIMBACHA M,D.

Internal Medicine (Pulmonary Disease)

110 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 476-2212

BLUE RIDGE PULMONARY MEDICINE, PC

Internal Medicine (Pulmonary Disease)

110 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 476-2212

DR. ETHAN BRANDON RUTLEDGE D.O.

Internal Medicine (Pulmonary Disease)

110 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 476-2212

J & L ENTERPRISES, LLC

Nurse Practitioner

110 DUNHILL PL NW, SUITE B
CLEVELAND, TN 37311

Bradley County (423) 790-7792

DR. GEORGE A. SAMUEL D.O.

Internal Medicine (Gastroenterology)

110 DUNHILL PL NW, SUITE B
CLEVELAND, TN 37311

Bradley County (423) 339-2000

JOHN S. JAGGERS III M.D.

Internal Medicine (Pulmonary Disease)

110 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 476-2212

ROBERT F. MARCUM M.D.

Internal Medicine (Pulmonary Disease)

110 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 476-2212

MRS. CINDY LYNN COCHRAN CCSH,RPSGT,RST

Specialist/Technologist, Other

110 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 476-2212

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 Jaclyn Montgomery's NPI number?

The NPI number for Jaclyn Montgomery is 1043917297. It was assigned to this individual provider in the NPPES registry on February 8, 2023. The provider is also known as Jaclyn Nicole Helton.

Where is Jaclyn Montgomery located?

Jaclyn Montgomery practices at 110 Dunhill Pl NW, Cleveland, TN 37311. The listed phone number is (423) 476-2212.

What is Jaclyn Montgomery's specialty?

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

Is Jaclyn Montgomery enrolled in Medicare?

Yes. Jaclyn 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.

Which organizations bill Medicare for Jaclyn Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Montgomery reassigns Medicare benefits to 3 organizations: Blue Ridge Pulmonary Medicine, PC (Cleveland, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Montgomery accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Jaclyn 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 Jaclyn Montgomery affiliated with any hospitals?

According to CMS data, Jaclyn Montgomery is affiliated with Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Jaclyn Montgomery was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.