JENNIFER MONTGOMERY
NPI 1659222453
Nurse Practitioner - Family in Gordo, AL

Active since February 06, 2026PECOS Enrolled
60 DUSTY RIDGE RD, GORDO, AL 35466(205) 393-0735 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Montgomery NPPES

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

JENNIFER MONTGOMERY (NPI 1659222453) is an individual family provider in Gordo, Alabama, licensed in Alabama (1-155328) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659222453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER MONTGOMERY
Location Address60 DUSTY RIDGE RDGordo, AL 35466
Mailing Address60 Dusty Ridge RdGordo, AL 35466-4948
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1659222453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-155328
60 DUSTY RIDGE RD, Gordo, AL 35466

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Montgomery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022587070
PECOS Enrollment IDI20260519003111
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 Reassignment

Medicare enrollment records show Jennifer Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group

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 35466 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 Jennifer Montgomery's NPI number?

The NPI number for Jennifer Montgomery is 1659222453. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Jennifer Montgomery located?

Jennifer Montgomery practices at 60 Dusty Ridge Rd, Gordo, AL 35466. The listed phone number is (205) 393-0735.

What is Jennifer Montgomery's specialty?

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

Is Jennifer Montgomery enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Montgomery reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Jennifer Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Montgomery was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.