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ROBERTA J MONTGOMERY CNP
NPI 1508837774
Nurse Practitioner - Family in Fargo, ND

Active since January 27, 2006PECOS Enrolled
2101 ELM ST N, FARGO, ND 58102(701) 239-3700 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Roberta J Montgomery Cnp NPPES

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

ROBERTA J MONTGOMERY CNP (NPI 1508837774) is an individual family provider in Fargo, North Dakota, licensed in Minnesota (R1401381) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508837774
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBERTA J MONTGOMERYCredential: CNP
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address2101 Elm St NFargo, ND 58102-2417 · (701) 239-3700
Phone(701) 239-3700
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1508837774 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 MN · R1401381
2101 ELM ST N, Fargo, ND 58102
Open in Google Maps ↗

Other Identifiers 8

Other0107835MN · Medica
Other1022855MN · Preferred One
OtherA020MN · Champus
Other857963MN · America's Ppo
OtherHP34223MN · Health Partners
Medicaid731528700MN
Other140897D277MN · Ucare
Other51G60MOMN · Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta J Montgomery Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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 $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$55.26 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$52.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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 20

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

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

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 Roberta Montgomery's NPI number?

The NPI number for Roberta Montgomery is 1508837774. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Roberta Montgomery located?

Roberta Montgomery practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 239-3700.

What is Roberta Montgomery's specialty?

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

Is Roberta Montgomery enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Roberta Montgomery was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.