Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JEANETTE RUTH MONTGOMERY C.N.P.
NPI 1811972060
Nurse Practitioner - Family in Saint Louis, MO

Active since December 09, 2005PECOS Enrolled
97.58/100
CMS Quality Rating
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141(800) 325-3982 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jeanette Ruth Montgomery C.n.p. NPPES

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

MRS. JEANETTE RUTH MONTGOMERY C.N.P. (NPI 1811972060) is an individual family provider in Saint Louis, Missouri, licensed in Minnesota (20040006-22) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Cuyuna Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1811972060
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JEANETTE RUTH MONTGOMERYCredential: C.N.P.
Location Address12647 OLIVE BLVD, SUITE 600Saint Louis, MO 63141-6345
Mailing Address8487 County Road 107Nisswa, MN 56468 · (218) 568-8485
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 9, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1811972060 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 MN · 20040006-22
12647 OLIVE BLVD, Saint Louis, MO 63141

Accepted 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

Mrs. Jeanette Ruth Montgomery C.n.p. 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 ID9830319375
PECOS Enrollment IDI20141003000745
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 4

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.
208 services30 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
128 services34 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.
102 services29 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
20 services14 patients

Hospital Affiliations CMS Care Compare

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

Cuyuna Regional Medical Center

Critical Access Hospitals · Crosby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241353
Location320 East Main StreetCrosby, MN 56441 · Crow Wing County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$82.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Behavior Analyst
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Psychologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Radiologic Technologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Registered Nurse
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Family Medicine
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

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 Jeanette Montgomery's NPI number?

The NPI number for Jeanette Montgomery is 1811972060. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Jeanette Montgomery located?

Jeanette Montgomery practices at 12647 Olive Blvd Suite 600, Saint Louis, MO 63141. The listed phone number is (800) 325-3982.

What is Jeanette Montgomery's specialty?

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

Is Jeanette Montgomery enrolled in Medicare?

Yes. Jeanette 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 Jeanette Montgomery accept?

Health plans from Medica list Jeanette 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 Jeanette Montgomery affiliated with any hospitals?

According to CMS data, Jeanette Montgomery is affiliated with Cuyuna Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeanette Montgomery was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.