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MARISA M MONTGOMERY NP
NPI 1396147559
Nurse Practitioner - Family in Goldsboro, NC

Active since September 19, 2014PECOS Enrolled
2604 MEDICAL OFFICE PL OFC PL, GOLDSBORO, NC 27534(919) 580-0004(919) 580-9099 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Marisa M Montgomery Np NPPES

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

MARISA M MONTGOMERY NP (NPI 1396147559) is an individual family provider in Goldsboro, North Carolina, licensed in North Carolina (5007175) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396147559
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA M MONTGOMERYCredential: NP
Location Address2604 MEDICAL OFFICE PL OFC PLGoldsboro, NC 27534-9417
Mailing Address2604 Medical Office PlGoldsboro, NC 27534-9417 · (919) 580-0004 · Fax (919) 580-9099
Phone(919) 580-0004
Fax(919) 580-9099
Sole ProprietorNo
Enumeration DateSeptember 19, 2014
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1396147559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5007175
2604 MEDICAL OFFICE PL OFC PL, Goldsboro, NC 27534
Open in Google Maps ↗

Other Identifiers 1

Other10038532NC · Nc Medical Lic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa M Montgomery Np 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 Reassignments

2

Medicare enrollment records show Marisa Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Immediate Care Of Goldsboro, PLLC
Same address
Emergency Care
2604 MEDICAL OFFICE PL
Goldsboro, NC 27534
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1952397028 (919) 580-0004
Goldsboro Emergency Medical Specialists, Inc.
0.2 mi
Emergency Medicine
2700 WAYNE MEMORIAL DRIVE
Goldsboro, NC 27534
  • Reassigned Medicare billing, North Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1164418232 (919) 731-6060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Marisa Montgomery's NPI number?

The NPI number for Marisa Montgomery is 1396147559. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Marisa Montgomery located?

Marisa Montgomery practices at 2604 Medical Office Pl Ofc Pl, Goldsboro, NC 27534. The listed phone number is (919) 580-0004.

What is Marisa Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marisa Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Marisa Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Montgomery reassigns Medicare benefits to 2 organizations: Immediate Care Of Goldsboro, PLLC (Goldsboro, NC) and Goldsboro Emergency Medical Specialists, Inc. (Goldsboro, NC). 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 Marisa Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa Montgomery was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.