1. Home
  2. Directory
  3. California
  4. City
  5. Nurse Practitioner
  6. NPI Profile

LORI DENISE MONTGOMERY
NPI 1477418366
Nurse Practitioner - Family in California City, CA

Active since December 22, 2025PECOS EnrolledAccepts Medicare Assignment
9350 N LOOP BLVD, CALIFORNIA CITY, CA 93505(661) 771-8222(760) 373-1790 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lori Denise Montgomery NPPES

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

LORI DENISE MONTGOMERY (NPI 1477418366) is an individual family provider in California City, California, licensed in California (95037450) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477418366
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI DENISE MONTGOMERY
Location Address9350 N LOOP BLVDCalifornia City, CA 93505-2269
Mailing Address9350 N Loop BlvdCalifornia City, CA 93505-2269 · (661) 771-8222 · Fax (760) 373-1790
Phone(661) 771-8222
Fax(760) 373-1790
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 22, 2025
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1477418366 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 CA · 95037450
9350 N LOOP BLVD, California City, CA 93505
Open in Google Maps ↗

Other Names 1

Former Name (1)Lori Denise Bray Fnp

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

Lori Denise Montgomery 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 ID5294210597
PECOS Enrollment IDI20260403000416
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93505 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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 2

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

AMBER LYNN MEDINA FNP-C
Family Medicine
9350 N LOOP BLVD
CALIFORNIA CITY, CA 93505
Kern County (760) 373-1785
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
Clinic/Center (Rural Health)
9350 N LOOP BLVD
CALIFORNIA CITY, CA 93505
Kern County (661) 823-1622

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 Lori Montgomery's NPI number?

The NPI number for Lori Montgomery is 1477418366. It was assigned to this individual provider in the NPPES registry on December 22, 2025. The provider is also known as Lori Denise Bray Fnp.

Where is Lori Montgomery located?

Lori Montgomery practices at 9350 N Loop Blvd, California City, CA 93505. The listed phone number is (661) 771-8222.

What is Lori Montgomery's specialty?

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

Is Lori Montgomery enrolled in Medicare?

Yes. Lori 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.

When was this NPI record last updated?

The NPPES record for Lori Montgomery was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.