Individual provider Active NPI

Heather Montgomery, FNP-C

  • Family Nurse Practitioner
  • Presque Isle, ME
National Provider Identifier
1639731268
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP191106 Issued in ME
Practice address
23 North St Ste 2
Presque Isle, ME 04769-2295
Phone
(207) 760-9278
NPI assigned
Jul 3, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 CNP191106 ME Primary

Addresses

Primary practice location

23 North St Ste 2
Presque Isle, ME 04769-2295

Mailing address

59 Vesta Dr
Caribou, ME 04736-2237
Phone (207) 493-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20190814002763 ME Practitioner - Nurse Practitioner 3476880386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians

Practice addresses (Care Compare)

118 Bennett Dr
Suite 150
Caribou, ME 04736-2062
Phone (207) 498-3502

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
71.56
Promoting interoperability
96
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP191106MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince Jul 8, 2019 Accepting new patients
Emergency Medicine Services of Maine, LLC CurrentSince Mar 27, 2020 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 8, 2019 Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

23 North St
Ste 2
Presque Isle, ME 04769
Phone (207) 760-9278

Interoperability endpoints

  • Direct secure messaging: heather.montgomery@70853079400452.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1639731268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 VESTA DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362237",
            "telephone_number": "207-493-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST STE 2",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692295",
            "telephone_number": "207-760-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP191106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.