Active NPI
Robert Montgomery, PA
- Surgical Physician Assistant
- New Richmond, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4811-23
- Practice address
- 535 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 243-3400
- Fax
- (715) 246-8980
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4811 | WI | |
| Surgical Physician Assistant | 363AS0400X | 4811-23 | WI | Primary |
| Physician Assistant | 363A00000X | 14898 | MN |
Addresses
Primary practice location
535 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121
Other practice location 2
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amery Regional Medical Center Inc
Practice addresses (Care Compare)
265 Griffin E St
Amery, WI 54001-1439
Phone (715) 268-8000
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700
405 Stageline Rd
Hudson, WI 54016-7848
Phone (651) 265-1999
411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
744 E Louisiana St
Saint Croix Falls, WI 54024-9501
Phone (866) 544-6741
Hospital & facility affiliations
- Amery Hospital & Clinic
- Westfields Hospital and Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14898 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Physician Assistant | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
230 Deronda St
Deronda, WI 54001
Phone (715) 268-0060
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
Organizations & group practices 9
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.
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
Physician Assistant
-
- Family Medicine Physician
- Somerset, WI
- NPI 1215305412
-
- Pain Clinic/Center
- Anoka, MN
- NPI 1689068462
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
Hospital
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Hospital
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1538712583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-243-3400",
"fax_number": "715-246-8980"
}
],
"practiceLocations": [
{
"address_1": "900 W Clairemont Ave",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016122",
"country_code": "US",
"telephone_number": "715-717-4121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 Griffin St E",
"address_purpose": "LOCATION",
"city": "Amery",
"state": "WI",
"postal_code": "540011439",
"country_code": "US",
"telephone_number": "715-268-8000",
"fax_number": "715-268-0311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "ROBERT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4811",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "4811-23",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14898",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.