KELLY M MONTAINE CRNA
NPI 1174904528
Nurse Anesthetist, Certified Registered in Milwaukee, WI
About Kelly M Montaine Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY M MONTAINE CRNA (NPI 1174904528) is an individual nurse anesthetist, certified registered in Milwaukee, Wisconsin, licensed in Wisconsin (6402-33) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Kelly M Montaine Crna 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kelly Montaine reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 210 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Anesthesia Partners Services Sc
- 100 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Franklin, WI 53132
- Reassigned Medicare billing, Wisconsin enrollment
- 7 clinicians in this Medicare group
Des Moines, IA 50314
- Reassigned Medicare billing, Iowa enrollment
- 209 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Des Moines Medical Center
Acute Care Hospitals · Des Moines, IASt Josephs Community Hospital West Bend
Acute Care Hospitals · West Bend, WICommunity Memorial Hospital
Acute Care Hospitals · Menomonee Falls, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
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 Kelly Montaine's NPI number?
The NPI number for Kelly Montaine is 1174904528. It was assigned to this individual provider in the NPPES registry on June 11, 2015.
Where is Kelly Montaine located?
Kelly Montaine practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.
What is Kelly Montaine's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Montaine enrolled in Medicare?
Yes. Kelly Montaine 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 Kelly Montaine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Montaine reassigns Medicare benefits to 7 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Vituity-Wisconsin Anesthesia Sc (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI), Anesthesia Partners Services, S.C. (Milwaukee, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and 2 more organizations, listed in the Medicare section above. 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 Kelly Montaine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Montaine accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Wellmark Health Plan of Iowa, Inc. list Kelly Montaine 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.
Is Kelly Montaine affiliated with any hospitals?
According to CMS data, Kelly Montaine is affiliated with Mercyone Des Moines Medical Center, St Josephs Community Hospital West Bend, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Montaine was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.
# Kelly M Montaine, CRNA · NPI 1174904528
Nurse Anesthetist, Certified Registered physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since June 11, 2015.
## Identity
- **NPI:** 1174904528 (Entity type: Individual)
- **Enumerated:** June 11, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 6402-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 945 N 12TH ST, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI); Vituity-Wisconsin Anesthesia Sc (NPI 1598599748, Milwaukee, WI); Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); Anesthesia Partners Services, S.C. (NPI 1861810947, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Kansas City, School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** October 6, 2026
- **Other identifiers:** Medicaid 1174904528 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1174904528) · Data from the CMS NPPES public registry.