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JOSEPH PAUL MONTGOMERY PMHNP-BC
NPI 1104155126
Nurse Practitioner - Psychiatric/Mental Health in Saint Clair Shores, MI

Active since December 22, 2009PECOS Enrolled
24715 LITTLE MACK AVE STE 200, SAINT CLAIR SHORES, MI 48080(586) 777-9000(586) 777-0823 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, May 17, 2024, Dec 30, 2020 (3 updates tracked since 2020).

About Joseph Paul Montgomery Pmhnp-bc NPPES

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

JOSEPH PAUL MONTGOMERY PMHNP-BC (NPI 1104155126) is an individual psychiatric/mental health provider in Saint Clair Shores, Michigan, licensed in Michigan (4704318966) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1104155126
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSEPH PAUL MONTGOMERYCredential: PMHNP-BC
Location Address24715 LITTLE MACK AVE STE 200Saint Clair Shores, MI 48080-3207
Mailing Address24715 Little Mack Ave Ste 200Saint Clair Shores, MI 48080-3207 · (586) 777-9000 · Fax (586) 777-0823
Phone(586) 777-9000
Fax(586) 777-0823
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateDecember 22, 2009
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1104155126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704318966
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401011520 (MI)
24715 LITTLE MACK AVE STE 200, Saint Clair Shores, MI 48080
Open in Google Maps ↗

Other Identifiers 1

Other75091042MI · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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 (PECOS)

Joseph Paul Montgomery Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507278488
PECOS Enrollment IDI20201217001816
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 12

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

FELICIA HILL LPC
Counselor (Professional)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (517) 882-3732
CAITLYN THELEN BISCHOFF PSY.D.
Psychologist (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (844) 232-8590
JENNIFER OSBORN LMFT
Marriage & Family Therapist
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-9000
FAITH MARIE PIERSON LCSW
Social Worker (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (517) 492-0784
SARAH VANSULLEN LMSW, RN
Social Worker (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (810) 580-1553
MS. MARIA R LAI MALLP,LCSW
Counselor (Mental Health)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-9000
MRS. FELICIA ANN JOHNSON LPC
Counselor
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-9000
DR. AMANDA CARR PSY.D.
Psychologist (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-9000

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 Joseph Montgomery's NPI number?

The NPI number for Joseph Montgomery is 1104155126. It was assigned to this individual provider in the NPPES registry on December 22, 2009.

Where is Joseph Montgomery located?

Joseph Montgomery practices at 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-9000.

What is Joseph Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Joseph Montgomery enrolled in Medicare?

Yes. Joseph Montgomery is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Montgomery accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Joseph 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.

When was this NPI record last updated?

The NPPES record for Joseph Montgomery was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.