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AUTUMN KATHRYN MONTGOMERY FNP-C
NPI 1770065187
Nurse Practitioner in Mount Dora, FL

Active since August 31, 2018PECOS Enrolled
3619 LAKE CENTER DR, MOUNT DORA, FL 32757(317) 670-6794 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Apr 8, 2026, May 2, 2022 and 6 more (9 updates tracked since 2018).

About Autumn Kathryn Montgomery Fnp-c NPPES

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

AUTUMN KATHRYN MONTGOMERY FNP-C (NPI 1770065187) is an individual nurse practitioner in Mount Dora, Florida, licensed in Florida (11002221) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770065187
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAUTUMN KATHRYN MONTGOMERYCredential: FNP-C
Location Address3619 LAKE CENTER DRMount Dora, FL 32757-2364
Mailing Address3619 Lake Center DrMount Dora, FL 32757-2364 · (317) 670-6794
Phone(317) 670-6794
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 31, 2018
Last NPPES UpdateSeptember 1, 20269 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1770065187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11002221
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3619 LAKE CENTER DR, Mount Dora, FL 32757
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Other Identifiers 1

Other11002221FL · Florida Aprn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Kathryn Montgomery Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840535548
PECOS Enrollment IDI20181228000815
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 Reassignments

3

Medicare enrollment records show Autumn Montgomery reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Post Acute Medical PLLC
753 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Florida and Indiana enrollments
  • 102 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008
Provider Partners Care Management LP
770 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Florida enrollment
  • 52 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800
Altea Medical Indiana PC
936 mi
Geriatric Medicine
2350 TAFT ST
Gary, IN 46404
  • Reassigned Medicare billing, Indiana enrollment
  • 85 clinicians in this Medicare group
NPI 1992584783 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
316 services76 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
215 services62 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services30 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
57 services33 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
52 services46 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
50 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32757 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 8

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

DR. SHIRLEY ANN NAGEL M.D.
Internal Medicine
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222
ROBERT A MARTELLO DO
Family Medicine
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222
SHAREEN SUTHERLAND NP
Nurse Practitioner (Family)
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222
CHERYL LYNN BRADFORD NP-C
Nurse Practitioner (Adult Health)
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (954) 261-6623
DR. ELEANOR FRANCES DAVINA D.O.
Internal Medicine
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222
REBECCA HOLLIMAN MSN, NP-C, RN-BC
Nurse Practitioner
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222
BARBARA LYNN HASKELL ARNP
Nurse Practitioner (Family)
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222
ADULT MEDICINE OF LAKE COUNTY INC
Internal Medicine
3619 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-8222

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 Autumn Montgomery's NPI number?

The NPI number for Autumn Montgomery is 1770065187. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Autumn Montgomery located?

Autumn Montgomery practices at 3619 Lake Center Dr, Mount Dora, FL 32757. The listed phone number is (317) 670-6794.

What is Autumn Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Autumn Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Autumn Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Montgomery reassigns Medicare benefits to 3 organizations: Post Acute Medical PLLC (Lanham, MD), Provider Partners Care Management LP (Columbia, MD) and Altea Medical Indiana PC (Gary, IN). Each 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 Autumn 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 Autumn Montgomery was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.