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LISA MONTGOMERY PA
NPI 1639253347
Physician Assistant in Russiaville, IN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
3309 S 750 W, RUSSIAVILLE, IN 46979(765) 883-2273 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lisa Montgomery Pa NPPES

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

LISA MONTGOMERY PA (NPI 1639253347) is an individual physician assistant in Russiaville, Indiana, licensed in Indiana (10000327) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (1998).

NPPES Registry Identity

NPI1639253347
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLISA MONTGOMERYCredential: PA
Location Address3309 S 750 WRussiaville, IN 46979-9146
Mailing Address3309 S 750 WRussiaville, IN 46979-9146 · (765) 883-2273
Phone(765) 883-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1639253347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10000327
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3309 S 750 W, Russiaville, IN 46979
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Lisa Montgomery Pa 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 ID2769575315
PECOS Enrollment IDI20070912000560
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
183 services144 patients
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.
155 services123 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
105 services86 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46979 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 8

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

MARTIN WALTER PRUSS MD
Family Medicine
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
ST JOSEPH HOSPITAL AND HEALTH CENTER INC
Physiological Laboratory
3309 S 750 W, SUITE 101
RUSSIAVILLE, IN 46979
Howard County (765) 456-5300
SHERRI C NUSS MD
Family Medicine
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
ABBY MERRELL
Nurse Practitioner (Adult Health)
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
MARTHA J HOSHAW MD
Family Medicine
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
MICHAEL JOSEPH BEHNA PA
Physician Assistant
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
KRISTEN L FOX PA-C
Physician Assistant
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 765-8832
OPTIMAL AUDIOLOGY, LLC
Clinic/Center (Hearing and Speech)
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273

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 Lisa Montgomery's NPI number?

The NPI number for Lisa Montgomery is 1639253347. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Lisa Montgomery located?

Lisa Montgomery practices at 3309 S 750 W, Russiaville, IN 46979. The listed phone number is (765) 883-2273.

What is Lisa Montgomery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Montgomery enrolled in Medicare?

Yes. Lisa 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 Lisa Montgomery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Lisa 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 Lisa Montgomery affiliated with any hospitals?

According to CMS data, Lisa Montgomery is affiliated with Community Howard Regional Health Inc. and Ascension St Vincent Kokomo.

When was this NPI record last updated?

The NPPES record for Lisa Montgomery was last updated on March 24, 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.