BYRON K MONTGOMERY ANP
NPI 1376841247
Nurse Practitioner in Portland, AR

Q: What is Byron Montgomery's NPI number?

The NPI number for Byron Montgomery is 1376841247. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Q: What is Byron Montgomery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Byron Montgomery was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 02, 2011PECOS Enrolled

233 N MAIN ST, PORTLAND, AR 71663(870) 538-5414(870) 538-5412 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Feb 6, 2026, Jun 10, 2021 (3 updates tracked since 2021).

On this page

About Byron K Montgomery Anp NPPES

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

BYRON K MONTGOMERY ANP (NPI 1376841247) is an individual nurse practitioner in Portland, Arkansas, licensed in Arkansas (ATP-000346) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376841247

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBYRON K MONTGOMERYCredential: ANP

Location Address233 N MAIN STPortland, AR 71663-9230

Mailing Address342 Highway 425 SMonticello, AR 71655-4612 · (870) 942-3000 · Fax (870) 942-3005

Phone(870) 538-5414

Fax(870) 538-5412

Sole ProprietorNo

Enumeration DateMarch 2, 2011

Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1376841247 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 AR · ATP-000346

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.

233 N MAIN ST, Portland, AR 71663

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Byron K Montgomery Anp 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.

Medicare Billing Reassignment

Medicare enrollment records show Byron Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainline Health Systems, Inc

Same address

Specialist

233 N MAIN ST
Portland, AR 71663

Reassigned Medicare billing, Arkansas enrollment
63 clinicians in this Medicare group

NPI 1407650179 (870) 737-2221

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 71663 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. MEREDITH LEIGH HUDSON LPC

Counselor (Mental Health)