KATHLEEN MONTGOMERY MSN, APRN, AGACNP-BC
NPI 1346832011
Nurse Practitioner - Acute Care in Springfield, IL

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7053 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2025, Apr 20, 2021, Apr 13, 2021 and 1 more (4 updates tracked since 2021).

About Kathleen Montgomery Msn, Aprn, Agacnp-bc NPPES

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

KATHLEEN MONTGOMERY MSN, APRN, AGACNP-BC (NPI 1346832011) is an individual acute care provider in Springfield, Illinois, licensed in Illinois (209.022480) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346832011
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATHLEEN MONTGOMERYCredential: MSN, APRN, AGACNP-BC
Location Address747 N RUTLEDGE ST FL 4Springfield, IL 62702-6700
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000
Fax(217) 545-7053
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 4, 2021
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1346832011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 209.022480
747 N RUTLEDGE ST FL 4, Springfield, IL 62702

Secondary Practice Locations 2

Location 1701 N 1st StSpringfield, IL 62781-4829 · Phone (217) 528-7541 · Fax (217) 606-3057
Location 2619 E Mason St Ste 5Springfield, IL 62701-1080 · Phone (217) 545-8000 · Fax (217) 545-2552

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Montgomery Msn, Aprn, Agacnp-bc 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.

PECOS PAC ID3870992456
PECOS Enrollment IDI20210602001256
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Nurse Practitioner
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Internal Medicine (Interventional Cardiology)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Thoracic Surgery (Cardiothoracic Vascular Surgery)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Nurse Practitioner (Gerontology)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Thoracic Surgery (Cardiothoracic Vascular Surgery)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Surgery (Vascular Surgery)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346832011, enumerated as an "individual" on February 04, 2021.

The provider is located at 747 N RUTLEDGE ST FL 4 SPRINGFIELD, IL 62702 and the phone number is (217) 545-8000.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

Kathleen Montgomery is affiliated with: ST JOHNS HOSPITAL.