Melissa Ann Montgomery, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

105844 Issued in OK

Practice address

3450 E Frank Phillips Blvd Ste 400
Bartlesville, OK 74006-2401

Phone

(918) 338-3740

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, OK2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Emergency Medicine Physicians of Tulsa County, LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1003098773
  Medicare reassignment NPD
• St John Urgent Care Clinics Inc

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1003918830
  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Nurse Practitioner
  • Girard, KS
  • NPI 1508897182
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Medicare reassignment NPD
• St. John Physicians, Inc

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD
• Hospital District No 1 Crawford County

  • Rural Health Clinic/Center
  • Fort Scott, KS
  • NPI 1093426470
  NPD
• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1700377066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD",
            "address_2": "STE 400",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062401",
            "telephone_number": "918-338-3740",
            "fax_number": "198-338-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD STE 400",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062401",
            "telephone_number": "918-338-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "105844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Hope, PLLC
• Kristie L Minor, APRN
• Kathryn Mitchell-Taylor
• Abigail Mitchell, PTA
• Monique Tisha Modest-McKoy, M.D.
• Thomas James Montgomery, MA
• Michael Derrick Moody, DDS
• Michael Brent Moore, D.PH.
• Stephanie R Moore, AUD
• Whitney Moore, LPC-S

• Family Nurse Practitioner in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.