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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 EnrolledAccepts Medicare Assignment
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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Paul Montgomery Pmhnp-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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baddigam Family Psychiatric Associates PLLC
9.9 mi
Psychiatry
43211 DALCOMA DR, STE. 3
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1093899569 (586) 263-6812
Elevate Wellness Group
16 mi
Family
1221 BOWERS ST UNIT 170
Birmingham, MI 48012
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group
NPI 1255192712 (248) 755-8585

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

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 15

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
AMANDA KAY WALTERS LPC
Counselor (Professional)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Macomb County (517) 492-0784
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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joseph Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Montgomery reassigns Medicare benefits to 2 organizations: Baddigam Family Psychiatric Associates PLLC (Clinton Township, MI) and Elevate Wellness Group (Birmingham, MI). 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 Joseph Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 17 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.