Active NPI
Justine C Montgomery, PA
- Medical Physician Assistant
- Boswell, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053952
- Practice address
- 430 Stonycreek St
Boswell, PA 15531-1024 - Phone
- (814) 629-5612
- Fax
- (814) 629-7199
- NPI assigned
- Sep 11, 2009
- Last updated
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA053952 | PA | Primary |
Addresses
Primary practice location
430 Stonycreek St
Boswell, PA 15531-1024
Mailing address
PO Box 340
136 S Pine Ave
Stoystown, PA 15563-0340
Phone (814) 893-5568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031963260001 | Medicaid | PA |
Other names 1
- Justine C Horner
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmontgomery178354@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 Pine St
PO Box 340
Stoystown, PA 15563-6002
136 S Pine Ave
PO Box 340
Stoystown, PA 15563-6002
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053952 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Medical Associates of Boswell | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
430 Stonycreek St
Boswell, PA 15531
Phone (814) 629-5612
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
Interoperability endpoints
- jmontgomery178354@upmc.direct-ci.com
- justine.c.montgomery@upmcdirect.com
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Stoystown, PA
- NPI 1609829670
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
dba UPMC Urgent Care-McCandless
- Urgent Care Clinic/Center
- Pittsburgh, PA
- NPI 1942674569
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Somerset, PA
- NPI 1558381988
-
- General Acute Care Hospital
- Somerset, PA
- NPI 1912900168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1740513563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"address_2": "136 S PINE AVE",
"city": "STOYSTOWN",
"state": "PA",
"postal_code": "155630340",
"telephone_number": "814-893-5568",
"fax_number": "814-893-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 STONYCREEK ST",
"city": "BOSWELL",
"state": "PA",
"postal_code": "155311024",
"telephone_number": "814-629-5612",
"fax_number": "814-629-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JUSTINE",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031963260001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmontgomery178354@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JUSTINE",
"last_name": "HORNER",
"middle_name": "C",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
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- North Star School District
- Joy Rachel Randall, MS, MSW, LBS, CTP
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.