Individual provider Active NPI

Robert Montague, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1023676483
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA213065 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3175
Phone
(207) 662-0111
NPI assigned
May 31, 2019
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA213065 ME Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3175

Mailing address

3 Leeman St
Portland, ME 04103-2420
Phone (406) 407-2807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211026002776 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557759461 Reassigns benefits to 4 organizations
I20250612000440 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557759461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 7315856010, shared by 5 NPIs, 80 clinicians

Practice addresses (Care Compare)

810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNA213065MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 18, 2021 Accepting new patients
Central Maine Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2025 Accepting new patients
Bridgton Hospital CurrentSince Jan 6, 2025 Accepting new patients
Rumford Hospital CurrentSince Jan 6, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2025 Accepting new patients
Maine Anesthesia Services LLC CurrentSince Sep 1, 2023 Accepting new patients
Mainehealth CurrentSince Oct 18, 2021 Accepting new patients
Bridgton Hospital CurrentSince Jan 6, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Rumford Hospital CurrentSince Jan 6, 2025 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1023676483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEEMAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032420",
            "telephone_number": "406-407-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "207-662-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA213065",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.