STACEY LEIGH MONTGOMERY ARNP
NPI 1104244763
Nurse Practitioner - Adult Health in Greenville, SC

Q: What is Stacey Montgomery's NPI number?

The NPI number for Stacey Montgomery is 1104244763. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Stacey Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Montgomery was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment

890 W FARIS RD STE 580, GREENVILLE, SC 29605(864) 455-7874(864) 455-8933 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, May 16, 2018 (2 updates tracked since 2018).

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About Stacey Leigh Montgomery Arnp NPPES

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

STACEY LEIGH MONTGOMERY ARNP (NPI 1104244763) is an individual adult health provider in Greenville, South Carolina, licensed in South Carolina (26821) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1104244763

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSTACEY LEIGH MONTGOMERYCredential: ARNP

Location Address890 W FARIS RD STE 580Greenville, SC 29605-4281

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-7874

Fax(864) 455-8933

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 1, 2014

Last NPPES UpdateJune 7, 20232 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1104244763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 26821

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License ARNP9235897 (FL)

890 W FARIS RD STE 580, Greenville, SC 29605

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Secondary Practice Location 1

Location 14725 N Federal HwyFort Lauderdale, FL 33308-4603 · Phone (954) 771-8000 ext. 8880

Other Identifiers 2

MedicaidPENDINGSC

OtherARNP9235897FL · Advanced Registered Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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

Stacey Leigh Montgomery Arnp 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 ID6204196876

PECOS Enrollment IDI20230619001376

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.

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

DR. ROBERT VINCENT MADLINGER D.O.

Surgery (Surgical Critical Care)