Sarah Rebekah Montgomery, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60350 Issued in ID

Practice address

4522 Sarah Loop
Chubbuck, ID 83202-5071

Phone

(208) 329-9090

NPI assigned

May 23, 2019

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 OH

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Incare Health Solutions LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403
  Medicare reassignment Care Compare group NPD
• Incare Health Solutions, LLC

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824

  Family

  NPD

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1538726799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 SARAH LOOP",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025071",
            "telephone_number": "208-329-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 SARAH LOOP",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025071",
            "telephone_number": "208-329-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SARAH",
        "middle_name": "REBEKAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Michaelson, LCPC
• Cena May Miller
• Stevie Marie Miller
• Lauren Jane Mitchell
• Karlee Moeai
• Benjamin Thomas Moore, DPT, PT
• Trent Moore
• Lisa Morales
• Nicole Murphy, OTR/L
• Cortney Murray, PHARM D

• Family Nurse Practitioner in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.