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

Q: 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.

Q: 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.

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: August 30, 2026.

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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

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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., Molina Healthcare and more.Insurance ›

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

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.

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.

What insurance does Kimberly Montgomery accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company 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.