MARY BROWN MONTGOMERY CPNP
NPI 1114704996
Nurse Practitioner - Pediatrics in Saint Louis, MO
About Mary Brown Montgomery Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BROWN MONTGOMERY CPNP (NPI 1114704996) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2022039874) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Mary Brown Montgomery Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mary Montgomery's NPI number?
The NPI number for Mary Montgomery is 1114704996. It was assigned to this individual provider in the NPPES registry on September 13, 2023.
Where is Mary Montgomery located?
Mary Montgomery practices at 9415 High Hill Ct, Saint Louis, MO 63126. The listed phone number is (314) 458-2793.
What is Mary Montgomery's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Montgomery enrolled in Medicare?
Yes. Mary Montgomery is registered in the Medicare PECOS enrollment system.
What insurance does Mary Montgomery accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Mary 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 Mary Montgomery was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mary Brown Montgomery, CPNP · NPI 1114704996
Pediatrics physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since September 13, 2023.
## Identity
- **NPI:** 1114704996 (Entity type: Individual)
- **Enumerated:** September 13, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2022039874 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 9415 HIGH HILL CT, Saint Louis, MO 63126-2106
- **Phone:** (314) 458-2793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114704996) · Data from the CMS NPPES public registry.