Individual provider Active NPI

Cindy A Montgomery, RNC, NP

  • Women's Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1093829244
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
CNP00778 Issued in NM
Practice address
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone
(575) 556-3241
Fax
(575) 526-6303
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X CNP00778 NM Primary

Addresses

Primary practice location

4371 E Lohman Ave
Las Cruces, NM 88011-8255

Mailing address

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-3241

Other identifiers 1

IdentifierTypeStateIssuer
000T4781MedicaidNM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cindy.montgomery.1@1928.direct.athenahealth.com
Direct Messaging Address cindy.montgomery.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20090916000705 NM Practitioner - Nurse Practitioner 1557463106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Apr 18, 2016 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Briarwood Clinic, LLC Past Accepting new patients

Locations

4351 E Lohman Ave
Ste 310
Las Cruces, NM 88011
Phone (575) 521-4808

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4371 E Lohman Ave
Las Cruces, NM 88011
Phone (575) 323-3938

Interoperability endpoints

  • Direct secure messaging: cindy.montgomery.1@1928.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1093829244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "575-556-3241",
            "fax_number": "575-526-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "575-556-3241",
            "fax_number": "575-526-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CINDY",
        "middle_name": "A",
        "credential": "RNC, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "CNP00778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000T4781",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindy.montgomery.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4371 E Lohman Ave",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindy.montgomery.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4371 E Lohman Ave",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.