Gary Dale Montgomery, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60577634 Issued in WA

Practice address

12800 Bothell Everett Hwy
Ste a
Everett, WA 98208-6642

Phone

(425) 316-5150

Fax

(425) 903-3142

NPI assigned

Nov 5, 2015

Last updated

May 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CO, MI3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Phillips County Hospital DistrictGroup PAC ID 9638161615, shared by 5 NPIs, 17 clinicians

Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melissa Memorial Hospital Hospital, Holyoke, CO, CCN 061305
• Sheridan Community Hospital Hospital, Sheridan, MI, CCN 231312
• Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306
• Sheridan Community Hospital Nursing home, CCN 23Z312

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.montgomery.1@15466.direct.athenahealth.com

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.

• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  MI, Physician Assistant

  Medicare reassignment Care Compare group NPD
• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Medicare reassignment NPD (past)
• East Phillips County Hospital District

  dba Melissa Memorial Hospital SwingBed

  • Medicare Defined Swing Bed Hospital Unit
  • Holyoke, CO
  • NPI 1912915893
  Medicare reassignment NPD (past)
• North Sound Emergency Medicine PC

  • Emergency Medicine Physician
  • Everett, WA
  • NPI 1114937919
  Medicare reassignment
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment
• Urgent Care Northern Colorado

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Fort Collins, CO
  • NPI 1154025104
  Medicare reassignment
• Providence Health & Services - Washington

  dba PMG NW WA MC Walk In Clinic

  • General Practice Physician
  • Everett, WA
  • NPI 1013169507
  NPD
• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  NPD
• East Phillips County Hospital District

  dba Family Practice of Holyoke

  • Rural Health Clinic/Center
  • Holyoke, CO
  • NPI 1073520375
  NPD
• East Phillips County Hospital District

  dba Holyoke EMS

  • Land Ambulance
  • Holyoke, CO
  • NPI 1407444276
  NPD
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• Summit Urgent Care, P.S.

  dba Summit Walk-in Clinic

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1720463995
  NPD (past)

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

• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Care Compare affiliation
• Mackinac Straits Health System Inc

  dba Mackinac Straits Hospital and Health Center

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502
  Care Compare affiliation
• Mackinac Straits Health System Inc

  dba Rivertown Medical Clinic

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1659868206

  Hospital

  Care Compare affiliation
• Sheridan Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Sheridan, MI
  • NPI 1225072853

  Nursing home

  Care Compare affiliation
• Sheridan Community Hospital

  • Critical Access Hospital
  • Sheridan, MI
  • NPI 1689618324
  Care Compare affiliation

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1104299601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090827",
            "telephone_number": "425-563-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOTHELL EVERETT HWY",
            "address_2": "STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086642",
            "telephone_number": "425-316-5150",
            "fax_number": "425-903-3142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N State St",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811048",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "GARY",
        "middle_name": "DALE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013078",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60577634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Monroe
• Trinh Ngoc Monroe
• Chelsea Carty Monsees
• Franco Monteza, MD
• Bonnie Michele Montgomery, M.S.
• Kevin Farrell Montgomery, MD
• Ana Maria Montoya-Alm, PA-C
• Brenda Montoya, R.N
• Valarie Moon
• Bridget Mooney, CCC SLP

• Physician Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.