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

Q: 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.

Q: What is Marisa Montgomery's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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

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Other Identifiers 1

Other10038532NC · Nc Medical Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

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.

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.

What insurance does Marisa Montgomery accept?

Health plans from Blue Cross and Blue Shield of NC list Marisa 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 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.