Individual provider Active NPI

Justine C Montgomery, PA

  • Medical Physician Assistant
  • Boswell, PA
National Provider Identifier
1740513563
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053952 Issued in PA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1031963260001MedicaidPA

Other names 1

  • Justine C Horner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000117 PA Practitioner - Physician Assistant 0840336392 Reassigns benefits to 2 organizations

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
Medical Associates of BoswellGroup PAC ID 3870494107, 4 clinicians

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

LicenseStateTypeSpecialty
MA053952PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 Accepting new patients
Medical Associates of Boswell CurrentSince Feb 5, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 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

  • Direct secure messaging: jmontgomery178354@upmc.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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"
        }
    ]
}

Other providers in Boswell, PA

Sources for this page

Verify at the official NPI Registry.