Individual provider Active NPI

Emily Nicole Montague, CNP

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1316683790
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71758 Issued in ID
Practice address
775 Pole Line Rd W
Twin Falls, ID 83301-5814
Phone
(208) 814-1600
Fax
(208) 814-1910
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71758 ID Primary

Addresses

Primary practice location

775 Pole Line Rd W
Twin Falls, ID 83301-5814

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

775 Pole Line Rd W Ste 103
Twin Falls, ID 83301-5819
Phone (208) 814-8375

Other practice location 2

2392 Addison Ave E
Twin Falls, ID 83301-6745
Phone (208) 933-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220811001488 ID Practitioner - Nurse Practitioner 8123401932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71758IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River View Urgent Care & Medical Center Inc CurrentSince Jul 11, 2022 Accepting new patients
Urgent Care of Idaho, LLC Family Medicine CurrentSince Jul 11, 2022 Accepting new patients
St Luke'S Clinic LLC Family Medicine CurrentSince Dec 18, 2023 Accepting new patients
Urgent Care of Idaho, LLC Family Medicine CurrentSince Jul 11, 2022 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

701 E Parkcenter Blvd
Ste 103
Boise, ID 83706

382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700

133 W Avenue A
#B
Jerome, ID 83338
Phone (208) 324-2004

840 N 4th E
Ste 103
Mountain Home, ID 83647

2392 Addison Ave E
Twin Falls, ID 83301
Phone (208) 933-2050

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

1309 Blue Lakes Blvd N
Twin Falls, ID 83301
Phone (208) 933-4440

775 Pole Line Rd W
Ste 103
Twin Falls, ID 83301
Phone (208) 814-8150

775 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

Organizations & group practices 5

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 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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1316683790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015814",
            "telephone_number": "208-814-1600",
            "fax_number": "208-814-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Pole Line Rd W Ste 103",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015819",
            "country_code": "US",
            "telephone_number": "208-814-8375",
            "fax_number": "208-814-8376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2392 Addison Ave E",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016745",
            "country_code": "US",
            "telephone_number": "208-933-4440",
            "fax_number": "208-933-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.