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ANDREA JANE MONTGOMERY AGNP
NPI 1265045264
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since August 28, 2020PECOS Enrolled
28.3/100
CMS Quality Rating
444 HONEYSUCKLE LN, SAINT LOUIS, MO 63119(314) 498-1174 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Aug 28, 2020 (2 updates tracked since 2020).

About Andrea Jane Montgomery Agnp NPPES

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

ANDREA JANE MONTGOMERY AGNP (NPI 1265045264) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2020028109) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265045264
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameANDREA JANE MONTGOMERYCredential: AGNP
Location Address444 HONEYSUCKLE LNSaint Louis, MO 63119-4521
Mailing Address444 Honeysuckle LnSaint Louis, MO 63119-4521 · (314) 498-1174
Phone(314) 498-1174
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1265045264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2020028109
444 HONEYSUCKLE LN, Saint Louis, MO 63119
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Jane Montgomery Agnp 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 63119 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

28.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality6.77
Promoting Interoperability0
Improvement Activities20
Cost62.57

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 Andrea Montgomery's NPI number?

The NPI number for Andrea Montgomery is 1265045264. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Andrea Montgomery located?

Andrea Montgomery practices at 444 Honeysuckle Ln, Saint Louis, MO 63119. The listed phone number is (314) 498-1174.

What is Andrea Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Andrea Montgomery enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrea Montgomery was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.