MICHELLE L MONTGOMERY
NPI 1700666831
Nurse Practitioner - Acute Care in Philadelphia, PA

Q: What is Michelle Montgomery's NPI number?

The NPI number for Michelle Montgomery is 1700666831. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Q: What is Michelle Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since October 05, 2023PECOS Enrolled

1 CONVENTION AVE, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Michelle L Montgomery NPPES

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

MICHELLE L MONTGOMERY (NPI 1700666831) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027221) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700666831

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMICHELLE L MONTGOMERY

Location Address1 CONVENTION AVEPhiladelphia, PA 19104-4311

Mailing Address44 Quaker RdMickleton, NJ 08056-1303 · (856) 364-5369

Phone(215) 662-4000

Sole ProprietorNo

Enumeration DateOctober 5, 2023

NPPES CertifiedOctober 5, 2023

✔ NPI 1700666831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in PA · SP027221✔ Licensed in PA · SP07221

1 CONVENTION AVE, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle L Montgomery 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

TIFFANY GARDNER

Pharmacist