Kaitlyn Montgomery, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022162-01 Issued in NY

Practice address

14 Hudson Ave Ste 1
Glens Falls, NY 12801-4451

Phone

(518) 926-1380

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Healthcare Partners of Saratoga LTDGroup PAC ID 9739320938, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score

68.51 of 100Reported as group

Quality

56.19

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmontgomery100530@albanymed.direct-ci.com

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

• Glens Falls Hospital Inc.

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217
  Medicare reassignment Care Compare group NPD
• Healthcare Partners of Saratoga LTD

  • Urgent Care Clinic/Center
  • Malta, NY
  • NPI 1700159613
  Medicare reassignment Care Compare group
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment Care Compare group
• Columbia Memorial Regional Medical PLLC

  • Multi-Specialty Clinic/Center
  • Hudson, NY
  • NPI 1861072670
  Medicare reassignment
• Glens Falls Hospital Inc

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991
  NPD
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
  • NPI 1881924322
  NPD

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

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1093209397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROBINS RUN",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128312345",
            "telephone_number": "518-487-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HUDSON AVE STE 1",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014451",
            "telephone_number": "518-926-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Spgs",
            "state": "NY",
            "postal_code": "128661003",
            "country_code": "US",
            "telephone_number": "518-886-5560",
            "fax_number": "518-886-5959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342907",
            "country_code": "US",
            "telephone_number": "518-828-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022162-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Anne Mitchum
• Charles Moak, CASAC
• Todd Monahan
• Stephen Anthony Monn, MD
• Kathleen Marie Monroe, RD CDN
• Susan E Moore, MD FAAP
• Mary Elizabeth Moran, MS OTR/L
• Danielle Moriarity, FNP-C, MSN, BSN, RN
• Carolyn Morrill-Cummins, LCSW-R
• Gwendolyn S Morris-Dickinson, PA-C

• Physician Assistant in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.