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KIMBERLY DAWN MONTGOMERY AGACNP
NPI 1568802940
Nurse Practitioner - Critical Care Medicine in Ft Worth, TX

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment
1400 8TH AVE BLDG C, SUITE 3001, FT WORTH, TX 76104(817) 922-2173(817) 922-1047 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Dawn Montgomery Agacnp NPPES

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

KIMBERLY DAWN MONTGOMERY AGACNP (NPI 1568802940) is an individual critical care medicine provider in Ft Worth, Texas, licensed in Texas (1074250) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1568802940
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameKIMBERLY DAWN MONTGOMERYCredential: AGACNP
Location Address1400 8TH AVE BLDG C, SUITE 3001Ft Worth, TX 76104-4110
Mailing Address1001 College Ave Ste AFt Worth, TX 76104-3000 · (817) 336-6000 · Fax (817) 336-2072
Phone(817) 922-2173
Fax(817) 922-1047
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 28, 2013
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1568802940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in TX · 1074250
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 665885 (TX)
1400 8TH AVE BLDG C, Ft Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1221 W Colorado Blvd, Pavillion 2, Ste 525Dallas, TX 75208 · Phone (214) 960-5681

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Dawn Montgomery Agacnp 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 ID1850527243
PECOS Enrollment IDI20131113000236
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

4

Medicare enrollment records show Kimberly Montgomery reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthtexas Provider Network
Same address
Anesthesiology
1400 8TH AVE # C770
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1295628709 (817) 922-1770
Dfw Critical Care LLC
0.7 mi
Critical Care Medicine
1001 COLLEGE AVE, STE A
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1184071771 (817) 336-6000
Sound Physicians Anesthesiology Of Texas PLLC
1.0 mi
Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
NPI 1295356277 (817) 702-3431
Dallas Pulmonary & Critical Care PA
30 mi
Critical Care Medicine
221 W COLORADO BLVD STE 525
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment
  • 254 clinicians in this Medicare group
NPI 1235402728 (214) 960-5681

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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
87 services66 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services23 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
18 services18 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
15 services14 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 Kimberly Montgomery's NPI number?

The NPI number for Kimberly Montgomery is 1568802940. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Kimberly Montgomery located?

Kimberly Montgomery practices at 1400 8th Ave Bldg C Suite 3001, Ft Worth, TX 76104. The listed phone number is (817) 922-2173.

What is Kimberly Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Kimberly Montgomery enrolled in Medicare?

Yes. Kimberly 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.

Which organizations bill Medicare for Kimberly Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Montgomery reassigns Medicare benefits to 4 organizations: Healthtexas Provider Network (Fort Worth, TX), Dfw Critical Care LLC (Fort Worth, TX), Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX) and Dallas Pulmonary & Critical Care PA (Dallas, TX). 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 Kimberly Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Montgomery accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Kimberly 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.

Is Kimberly Montgomery affiliated with any hospitals?

According to CMS data, Kimberly Montgomery is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth.

When was this NPI record last updated?

The NPPES record for Kimberly Montgomery was last updated on August 18, 2023. 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.