Kelsie Montgomery, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7875142-4405 Issued in UT

Practice address

2891 E Mall Dr Ste 101
St George, UT 84790-2399

Phone

(435) 619-8632

Fax

(435) 619-8633

NPI assigned

Jul 21, 2017

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 UT

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Home Health - St. George Home health agency, St George, UT, CCN 467033
• St. George Regional Hospital Hospital, St George, UT, CCN 460021
• Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
• Kane County Hospital Hospital, Kanab, UT, CCN 461309
• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

Merit-based Incentive Payment System (MIPS)

Final score

78.97 of 100Reported as group

Quality

68.31

Promoting interoperability

86

Improvement activities

40

Cost

73.25

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelsiemontgomery@ssapcsl-ut.direct.office.nextgen.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.

• Southwest Spine and Pain Care Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Saint George, UT
  • NPI 1144509985
  Medicare reassignment Care Compare group NPD
• Southwest Spine and Pain Care Specialists, LLC

  • Chiropractor
  • Saint George, UT
  • NPI 1871263178
  NPD

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

• Ihc Health Services Inc

  • Home Health Agency
  • St George, UT
  • NPI 1932270246
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Cedar City, UT
  • NPI 1538178801
  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Family Medicine Physician
  • Kanab, UT
  • NPI 1215001037

  Hospital

  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Critical Access Hospital
  • Kanab, UT
  • NPI 1740519370
  Care Compare affiliation
• MMC of Nevada LLC

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1437672326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-619-8632",
            "fax_number": "435-619-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902399",
            "telephone_number": "435-619-8632",
            "fax_number": "435-619-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KELSIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7875142-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Montag
• Terry L Montague, MD
• Pamela Ellen Montgomery-Earl, AU.D.
• Braedon Montgomery
• Jennifer Montgomery
• Dana Moody
• Aubree Moon
• Britnie Lynn Moon
• Theodore Hyunsub Moon, M.D.
• Haley Moor

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.