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MARY LEE ELIZABETH MONTGOMERY RN
NPI 1255039616
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since February 15, 2023PECOS Enrolled
212 17TH AVE S, SEATTLE, WA 98144(206) 550-8582 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Lee Elizabeth Montgomery Rn NPPES

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

MARY LEE ELIZABETH MONTGOMERY RN (NPI 1255039616) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP61456777) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255039616
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY LEE ELIZABETH MONTGOMERYCredential: RN
Location Address212 17TH AVE SSeattle, WA 98144-2149
Mailing Address212 17th Ave SSeattle, WA 98144-2149 · (206) 550-8582
Phone(206) 550-8582
Sole ProprietorYes
Enumeration DateFebruary 15, 2023
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1255039616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61456777
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 60474121 (WA)
212 17TH AVE S, Seattle, WA 98144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Lee Elizabeth Montgomery Rn 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 98144 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Lee Montgomery's NPI number?

The NPI number for Mary Lee Montgomery is 1255039616. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Mary Lee Montgomery located?

Mary Lee Montgomery practices at 212 17th Ave S, Seattle, WA 98144. The listed phone number is (206) 550-8582.

What is Mary Lee Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Lee Montgomery enrolled in Medicare?

Yes. Mary Lee Montgomery is registered in the Medicare PECOS enrollment system.

What insurance does Mary Lee Montgomery accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary Lee 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 Lee Montgomery was last updated on August 2, 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.