ALEXIS JEAN MONTGOMERY FNP
NPI 1164345179
Nurse Practitioner - Family in Anderson, IN

Q: What is Alexis Montgomery's NPI number?

The NPI number for Alexis Montgomery is 1164345179. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Q: What is Alexis Montgomery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexis Montgomery was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 04, 2026PECOS Enrolled

2009 BROWN ST, ANDERSON, IN 46016(317) 574-1254(317) 674-0060 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2026, Aug 4, 2026 (2 updates tracked since 2026).

On this page

About Alexis Jean Montgomery Fnp NPPES

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

ALEXIS JEAN MONTGOMERY FNP (NPI 1164345179) is an individual family provider in Anderson, Indiana, licensed in Indiana (71018456A) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1164345179

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXIS JEAN MONTGOMERYCredential: FNP

Location Address2009 BROWN STAnderson, IN 46016-4216

Mailing Address697 Pro Med LnCarmel, IN 46032-5323 · (317) 574-1254 · Fax (317) 674-0060

Phone(317) 574-1254

Fax(317) 674-0060

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateAugust 4, 2026

Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1164345179 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 IN · 71018456A

2009 BROWN ST, Anderson, IN 46016

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Alexis Jean Montgomery Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618435777

PECOS Enrollment IDI20260819000406

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 Reassignment

Medicare enrollment records show Alexis Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aspire Indiana Health Inc.

Same address

Federally Qualified Health Center (FQHC)

2009 BROWN ST
Anderson, IN 46016

Reassigned Medicare billing, Indiana enrollment
204 clinicians in this Medicare group

NPI 1780068288 (317) 574-1254

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 46016 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

TARA ELIZABETH MCCARTY FNP-C

Nurse Practitioner (Family)

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

MICHELLE RENE MCDOWELL FNP

Nurse Practitioner (Family)

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

MRS. SYDNEY ELIZABETH EHMKE NP

Nurse Practitioner (Family)

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

JAMES E MONEYHUN MD MEDICAL CORPORATION

Family Medicine

2009 BROWN ST, SUITE 8
ANDERSON, IN 46016

Madison County (765) 643-6669

MS. BRIDGET LEE SPINNER-BAKER

Nurse Practitioner (Psychiatric/Mental Health)

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

MRS. STEPHANIE S WILSON NP

Nurse Practitioner

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

KERRI JENELL CUNNINGHAM PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

MELISSA ANNE COUSINS FNP

Nurse Practitioner (Family)

2009 BROWN ST
ANDERSON, IN 46016

Madison County (317) 574-1254

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 Alexis Montgomery's NPI number?

The NPI number for Alexis Montgomery is 1164345179. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Alexis Montgomery located?

Alexis Montgomery practices at 2009 Brown St, Anderson, IN 46016. The listed phone number is (317) 574-1254.

What is Alexis Montgomery's specialty?

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

Is Alexis Montgomery enrolled in Medicare?

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

Which organization bills Medicare for Alexis Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Montgomery reassigns Medicare benefits to Aspire Indiana Health Inc. (Anderson, IN). The 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 Alexis Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Montgomery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Alexis 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 Alexis Montgomery was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.