Individual provider Active NPI

Angela Meg Montague, APNP

  • Family Nurse Practitioner
  • Plymouth, WI
National Provider Identifier
1619476256
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8230-33 Issued in WI
Practice address
825 Walton Dr
Plymouth, WI 53073-5022
Phone
(920) 892-4322
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 8230-33 WI Primary

Addresses

Primary practice location

825 Walton Dr
Plymouth, WI 53073-5022

Mailing address

825 Walton Dr
Plymouth, WI 53073-5022
Phone (920) 892-4322

Other practice location 1

1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858

Other practice location 2

950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150

Other practice location 3

W63N545 Hanover Ave
Cedarburg, WI 53012-1917
Phone (262) 421-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180420002141 WI Practitioner - Nurse Practitioner 2668735812 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858

15 S 10TH St
Suite a
Oostburg, WI 53070-1370
Phone (920) 552-5046

1703 N Taylor Dr
Sheboygan, WI 53081-1933
Phone (920) 496-4700

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300

3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700

950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150

PO Box
Suite 19070
Green Bay, WI 54307-9070

Hospital & facility affiliations

  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Mar 19, 2018 Accepting new patients
Lakeshore Community Health Care, Inc CurrentSince May 18, 2020 Accepting new patients
Prevea Clinic, Inc. CurrentSince Mar 19, 2018 Accepting new patients
Lakeshore Community Health Care, Inc CurrentSince May 18, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Mar 19, 2018 Accepting new patients
Prevea Clinic, Inc. CurrentSince Mar 19, 2018 Accepting new patients
Lakeshore Community Health Care, Inc Current Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Mar 19, 2018 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Mar 19, 2018 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients

Locations

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

950 Woodlake Rd
Kohler, WI 53044
Phone (920) 783-3150

15 S 10th St
Ste A
Oostburg, WI 53070
Phone (920) 552-5046

825 Walton Dr
Plymouth, WI 53073
Phone (920) 451-7304

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600

Organizations & group practices 10

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 7

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": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619476256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WALTON DR",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530735022",
            "telephone_number": "920-892-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WALTON DR",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530735022",
            "telephone_number": "920-892-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 N Taylor Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530813043",
            "country_code": "US",
            "telephone_number": "920-457-4858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Woodlake Rd",
            "address_purpose": "LOCATION",
            "city": "Kohler",
            "state": "WI",
            "postal_code": "530441348",
            "country_code": "US",
            "telephone_number": "920-783-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W63N545 Hanover Ave",
            "address_purpose": "LOCATION",
            "city": "Cedarburg",
            "state": "WI",
            "postal_code": "530121917",
            "country_code": "US",
            "telephone_number": "262-421-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ANGELA",
        "middle_name": "MEG",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8230-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, WI

Sources for this page

Verify at the official NPI Registry.