LATRENA MONTGOMERY FNP-C
NPI 1346621075
Nurse Practitioner - Family in Madison, MS
About Latrena Montgomery Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATRENA MONTGOMERY FNP-C (NPI 1346621075) is an individual family provider in Madison, Mississippi, licensed in Mississippi (R881572) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Latrena Montgomery Fnp-c 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
6Medicare enrollment records show Latrena Montgomery reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, MS 39046
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 99 clinicians in this Medicare group
Yazoo City, MS 39194
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Desoto, TX 75115
- Reassigned Medicare billing, Texas enrollment
- 36 clinicians in this Medicare group
Azle, TX 76020
- Reassigned Medicare billing, Texas enrollment
- 41 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Latrena Montgomery's NPI number?
The NPI number for Latrena Montgomery is 1346621075. It was assigned to this individual provider in the NPPES registry on June 18, 2015.
Where is Latrena Montgomery located?
Latrena Montgomery practices at 105 Varese Pl, Madison, MS 39110. The listed phone number is (601) 622-8182.
What is Latrena Montgomery's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latrena Montgomery enrolled in Medicare?
Yes. Latrena Montgomery 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 Latrena Montgomery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latrena Montgomery reassigns Medicare benefits to 6 organizations: State Of Mississippi - University Of Mississippi Medical Center (Canton, MS), App Of Mississippi Ed, LLC (Jackson, MS), Jackson Hb Medical Services LLC (Jackson, MS), Yazoo Emergency Group, LLC (Yazoo City, MS), Hephzibah Visiting Clinicians (Desoto, TX) and 1 more organization, 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 Latrena Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latrena Montgomery accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Latrena 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 Latrena Montgomery was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Latrena Montgomery, FNP-C · NPI 1346621075
Family physician in Madison, Mississippi. Individual provider, active in the CMS NPPES registry since June 18, 2015.
## Identity
- **NPI:** 1346621075 (Entity type: Individual)
- **Enumerated:** June 18, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R881572 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 VARESE PL, Madison, MS 39110
- **Phone:** (601) 622-8182
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1760285936, Canton, MS); App Of Mississippi Ed, LLC (NPI 1730687740, Jackson, MS); Jackson Hb Medical Services LLC (NPI 1184305856, Jackson, MS); Yazoo Emergency Group, LLC (NPI 1447806914, Yazoo City, MS); Hephzibah Visiting Clinicians (NPI 1083101075, Desoto, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1346621075) · Data from the CMS NPPES public registry.