KELLY NICOLE MONTGOMERY FNP
NPI 1609466770
Nurse Practitioner - Psychiatric/Mental Health in Medina, OH

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
3591 RESERVE COMMONS DR STE 100, MEDINA, OH 44256(216) 450-1613(216) 450-1614 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2021, Feb 15, 2021, Jan 22, 2021 (3 updates tracked since 2021).

About Kelly Nicole Montgomery Fnp NPPES

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

KELLY NICOLE MONTGOMERY FNP (NPI 1609466770) is an individual psychiatric/mental health provider in Medina, Ohio, licensed in Ohio (APRN.CNP.0028297) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609466770
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY NICOLE MONTGOMERYCredential: FNP
Location Address3591 RESERVE COMMONS DR STE 100Medina, OH 44256-5334
Mailing Address25700 Science Park Dr Ste 210Beachwood, OH 44122-7328 · (216) 450-1613 · Fax (216) 450-1614
Fax(216) 450-1614
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2021
Last NPPES UpdateFebruary 23, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
NPI 1609466770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0028297
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0028297 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.0028297 (OH)
3591 RESERVE COMMONS DR STE 100, Medina, OH 44256

Accepted 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

Kelly Nicole Montgomery Fnp 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 ID8820404155
PECOS Enrollment IDI20210310001987
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
76 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

Social Worker (Clinical)
3591 RESERVE COMMONS DR STE 100
MEDINA, OH 44256
Counselor (Professional)
3591 RESERVE COMMONS DR STE 100
MEDINA, OH 44256
Chiropractor
3591 RESERVE COMMONS DR STE 100
MEDINA, OH 44256
Counselor (Professional)
3591 RESERVE COMMONS DR STE 100
MEDINA, OH 44256

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 Kelly Montgomery's NPI number?

The NPI number for Kelly Montgomery is 1609466770. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Kelly Montgomery located?

Kelly Montgomery practices at 3591 Reserve Commons Dr Ste 100, Medina, OH 44256. The listed phone number is (216) 450-1613.

What is Kelly Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Montgomery enrolled in Medicare?

Yes. Kelly 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 Kelly Montgomery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Kelly 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 Kelly Montgomery was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.