Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

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 added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

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.

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
Fax(317) 674-0060
Sole ProprietorNo
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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 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.

Nurse Practitioner (Family)
2009 BROWN ST
ANDERSON, IN 46016
Nurse Practitioner (Family)
2009 BROWN ST
ANDERSON, IN 46016
Nurse Practitioner (Family)
2009 BROWN ST
ANDERSON, IN 46016
Family Medicine
2009 BROWN ST, SUITE 8
ANDERSON, IN 46016
Nurse Practitioner (Psychiatric/Mental Health)
2009 BROWN ST
ANDERSON, IN 46016
Nurse Practitioner
2009 BROWN ST
ANDERSON, IN 46016
Nurse Practitioner (Psychiatric/Mental Health)
2009 BROWN ST
ANDERSON, IN 46016
Nurse Practitioner (Family)
2009 BROWN ST
ANDERSON, IN 46016

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.

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 23 days 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.