PRECIOUS MONTGOMERY FNP
NPI 1053845610
Nurse Practitioner - Family in Tupelo, MS

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
173 CARR VISTA RD, TUPELO, MS 38801(662) 401-8687 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Precious Montgomery Fnp NPPES

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

PRECIOUS MONTGOMERY FNP (NPI 1053845610) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (901936) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053845610
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRECIOUS MONTGOMERYCredential: FNP
Location Address173 CARR VISTA RDTupelo, MS 38801-8604
Mailing Address173 Carr Vista RdTupelo, MS 38801-8604
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 20, 2017
✔ NPI 1053845610 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 MS · 901936
173 CARR VISTA RD, Tupelo, MS 38801

Accepted 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

Precious 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 ID9032488143
PECOS Enrollment IDI20170705003065
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

6

Medicare enrollment records show Precious Montgomery reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
830 S GLOSTER ST
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 108 clinicians in this Medicare group
Hospitalist
830 S GLOSTER ST
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 24 clinicians in this Medicare group
Hospitalist
176 S MAIN ST
Pontotoc, MS 38863
  • Reassigned Medicare billing, Mississippi enrollment
  • 44 clinicians in this Medicare group
Emergency Medicine
1105 EARL FRYE BLVD
Amory, MS 38821
  • Reassigned Medicare billing, Mississippi enrollment
  • 107 clinicians in this Medicare group
Emergency Medicine
150 MEDICAL CENTER DR
West Point, MS 39773
  • Reassigned Medicare billing, Mississippi enrollment
  • 103 clinicians in this Medicare group
Hospitalist
150 MEDICAL CENTER DR
West Point, MS 39773
  • Reassigned Medicare billing, Mississippi enrollment
  • 53 clinicians in this Medicare group

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services26 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
22 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Precious Montgomery's NPI number?

The NPI number for Precious Montgomery is 1053845610. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Precious Montgomery located?

Precious Montgomery practices at 173 Carr Vista Rd, Tupelo, MS 38801. The listed phone number is (662) 401-8687.

What is Precious Montgomery's specialty?

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

Is Precious Montgomery enrolled in Medicare?

Yes. Precious 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 Precious Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Precious Montgomery reassigns Medicare benefits to 6 organizations: Relias Emergency Medicine Specialists Of Tupelo LLC (Tupelo, MS), Relias Hospitalist Medicine Specialists Of Tupelo LLC (Tupelo, MS), Relias Hospitalist Medicine Specialists Of Pontotoc LLC (Pontotoc, MS), Relias Emergency Medicine Specialists Of Amory, LLC (Amory, MS), Relias Emergency Medicine Specialists Of West Point, LLC (West Point, MS) and 1 more organization, listed in the Medicare section above. 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 Precious Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Precious Montgomery accept?

Health plans from Blue Cross and Blue Shield of Alabama list Precious 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 Precious Montgomery affiliated with any hospitals?

According to CMS data, Precious Montgomery is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Precious Montgomery was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.