MARY M MONTAGUE FNP
NPI 1558726604
Nurse Practitioner - Family in Fairfax, VA
About Mary M Montague Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY M MONTAGUE FNP (NPI 1558726604) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024173093) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary M Montague Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
FAIRFAX, VA 22031
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 Mary Montague's NPI number?
The NPI number for Mary Montague is 1558726604. It was assigned to this individual provider in the NPPES registry on December 16, 2015.
Where is Mary Montague located?
Mary Montague practices at 2730 Prosperity Ave Ste D, Fairfax, VA 22031. The listed phone number is (703) 226-2290.
What is Mary Montague's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Montague enrolled in Medicare?
Yes. Mary Montague is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Montague was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary M Montague, FNP · NPI 1558726604
Family physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since December 16, 2015.
## Identity
- **NPI:** 1558726604 (Entity type: Individual)
- **Enumerated:** December 16, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024173093 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2730 PROSPERITY AVE STE D, Fairfax, VA 22031-4330
- **Phone:** (703) 226-2290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558726604) · Data from the CMS NPPES public registry.