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ELIZABETH ANNE MONTGOMERY ARNP
NPI 1609120542
Nurse Practitioner - Family in Louisville, KY

Active since October 30, 2012PECOS Enrolled
210 E GRAY ST, STE 601, LOUISVILLE, KY 40202(502) 588-3600(502) 588-9536 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2021, May 28, 2020 (2 updates tracked since 2020).

About Elizabeth Anne Montgomery Arnp NPPES

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

ELIZABETH ANNE MONTGOMERY ARNP (NPI 1609120542) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3007751) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609120542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH ANNE MONTGOMERYCredential: ARNP
Location Address210 E GRAY ST, STE 601Louisville, KY 40202-3902
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-3600 · Fax (502) 588-9536
Phone(502) 588-3600
Fax(502) 588-9536
Sole ProprietorNo
Enumeration DateOctober 30, 2012
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1609120542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007751
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3007751 (KY)
210 E GRAY ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100223480KY
Medicaid201165230IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Anne Montgomery Arnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Pediatric Endocrinology
210 E GRAY ST, SUITE 803
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1144586876 (502) 629-8821
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

UNIVERSITY OF LOUISIVLLE PHYSICIANS
Pediatrics (Pediatric Infectious Diseases)
210 E GRAY ST, SUITE 802
LOUISVILLE, KY 40202
Jefferson County (502) 852-7733
CYNA KHALILY MD
Orthopaedic Surgery
210 E GRAY ST, SUITE 604
LOUISVILLE, KY 40202
Jefferson County (502) 629-5633
KENTUCKY NEURO ASSOCIATES
Neurological Surgery
210 E GRAY ST, SUITE 1106
LOUISVILLE, KY 40202
Jefferson County (502) 583-1697
JENNA RAYE MONTANO APRN
Nurse Practitioner (Acute Care)
210 E GRAY ST
LOUISVILLE, KY 40202
Jefferson County (502) 559-3636
JEFFREY HOWARD FRANK MD
Psychiatry & Neurology (Neurology)
210 E GRAY ST, SUITE 1003
LOUISVILLE, KY 40202
Jefferson County (502) 629-2602
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Pediatrics (Pediatric Hematology-Oncology)
210 E GRAY ST, SUITE 601A
LOUISVILLE, KY 40202
Jefferson County (502) 588-3600
NEUROSURGICAL INSTITUTE OF KENTUCKY
Neurological Surgery
210 E GRAY ST, SUITE 1105
LOUISVILLE, KY 40202
Jefferson County (502) 583-1697
COMMONWEALTH CARDIOLOGISTS PSC
Internal Medicine (Cardiovascular Disease)
210 E GRAY ST, SUITE 1002
LOUISVILLE, KY 40202
Jefferson County (502) 584-2029

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 Elizabeth Montgomery's NPI number?

The NPI number for Elizabeth Montgomery is 1609120542. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Elizabeth Montgomery located?

Elizabeth Montgomery practices at 210 E Gray St Ste 601, Louisville, KY 40202. The listed phone number is (502) 588-3600.

What is Elizabeth Montgomery's specialty?

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

Is Elizabeth Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Elizabeth Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Montgomery reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Elizabeth Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Montgomery accept?

Health plans from CareSource list Elizabeth 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Montgomery was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.