Individual provider Active NPI

Heather Jean Montgomery, C.R.N.P

  • Family Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1427059559
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R137571 Issued in MD
Practice address
125 Stoakley Road
Suite 300
Prince Frederick, MD 20678
Phone
(410) 535-4561
Fax
(410) 535-9941
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R137571 MD Primary
Dermatology Physician 207N00000X R137571 MD

Addresses

Primary practice location

125 Stoakley Road
Suite 300
Prince Frederick, MD 20678

Mailing address

PO Box 1540
Prince Frederick, MD 20678-1540
Phone (410) 535-4561

Other identifiers 5

IdentifierTypeStateIssuer
120363OtherMDJHHC PROVIDER NUMBER
61760401OtherMDCAREFIRST MD RENDERING
400427200MedicaidMD
R137571OtherMDMHIP PROVIDER ID
7605-0058OtherMDCAREFIRST BLUECHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070404000352 MD Practitioner - Nurse Practitioner 5890899603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calvert Dermatology, LLCGroup PAC ID 0345340378, 3 clinicians

Practice addresses (Care Compare)

125 Stoakley Rd
Suite 300
Prince Frederick, MD 20678-3962
Phone (410) 535-4561

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R137571MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Health Ventures Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.montgomery@cd.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1427059559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1540",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781540",
            "telephone_number": "410-535-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 STOAKLEY ROAD",
            "address_2": "SUITE 300",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-4561",
            "fax_number": "410-535-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "HEATHER",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R137571",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "R137571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC PROVIDER NUMBER",
            "identifier": "120363",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD RENDERING",
            "identifier": "61760401",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400427200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHIP PROVIDER ID",
            "identifier": "R137571",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "7605-0058",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.