MR. STEPHEN MICHAEL MONTGOMERY JR. PMHNP-BC
NPI 1295401263
Nurse Practitioner in Cincinnati, OH

Q: What is Stephen Montgomery's NPI number?

The NPI number for Stephen Montgomery is 1295401263. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Q: What is Stephen Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 19, 2021PECOS Enrolled

5642 HAMILTON AVE, CINCINNATI, OH 45224(513) 636-4120 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Aug 19, 2021 (2 updates tracked since 2021).

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About Mr. Stephen Michael Montgomery Jr. Pmhnp-bc NPPES

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

MR. STEPHEN MICHAEL MONTGOMERY JR. PMHNP-BC (NPI 1295401263) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0029723) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1295401263

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. STEPHEN MICHAEL MONTGOMERY JR.Credential: PMHNP-BC

Location Address5642 HAMILTON AVECincinnati, OH 45224-3114

Mailing Address3333 Burnet Ave., Ml 3014Cincinnati, OH 45229-3026 · (513) 636-4788 · Fax (513) 636-4283

Phone(513) 636-4120

Sole ProprietorNo

Enumeration DateAugust 19, 2021

Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1295401263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.0029723

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5642 HAMILTON AVE, Cincinnati, OH 45224

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Secondary Practice Location 1

Location 13333 Burnet Ave., ML 3014Cincinnati, OH 45229-3026 · Phone (513) 636-4788 · Fax (513) 636-4283

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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)

Mr. Stephen Michael Montgomery Jr. Pmhnp-bc 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 45224 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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