MIQUEILA MONTGOMERY F-PMHNP
NPI 1700182631
Nurse Practitioner - Psychiatric/Mental Health in Olympia, WA

Q: What is Miqueila Montgomery's NPI number?

The NPI number for Miqueila Montgomery is 1700182631. It was assigned to this individual provider in the NPPES registry on February 10, 2011.

Q: What is Miqueila Montgomery's specialty?

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

Active since February 10, 2011PECOS EnrolledAccepts Medicare Assignment

3857 MARTIN WAY E, OLYMPIA, WA 98506(360) 704-7170 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miqueila Montgomery F-pmhnp NPPES

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

MIQUEILA MONTGOMERY F-PMHNP (NPI 1700182631) is an individual psychiatric/mental health provider in Olympia, Washington, licensed in Washington (AP60206007) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700182631

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMIQUEILA MONTGOMERYCredential: F-PMHNP

Location Address3857 MARTIN WAY EOlympia, WA 98506-5268

Mailing Address3857 Martin Way EOlympia, WA 98506-5268 · (360) 704-7170

Phone(360) 704-7170

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 10, 2011

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1700182631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP60206007

3857 MARTIN WAY E, Olympia, WA 98506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Miqueila Montgomery F-pmhnp 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 ID6002091303

PECOS Enrollment IDI20110907001576

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

PAMELA KAY BODINE

Counselor (Mental Health)