Individual provider Active NPI

Katie Montgomery, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1841845286
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142128 Issued in TX
Practice address
1521 S Staples St Ste 603
Corpus Christi, TX 78404-3165
Phone
(361) 884-9244
Fax
(361) 884-9284
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP142128 TX Primary

Addresses

Primary practice location

1521 S Staples St Ste 603
Corpus Christi, TX 78404-3165

Mailing address

1521 S Staples St Ste 603
Corpus Christi, TX 78404-3165
Phone (361) 884-9244

Other names 1

  • Katie Wernecke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191018001779 TX Practitioner - Nurse Practitioner 7214268440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corpus Nephrology NetworkGroup PAC ID 9133208671, 2 clinicians

Practice addresses (Care Compare)

1521 S Staples St
Suite 603
Corpus Christi, TX 78404-3165
Phone (361) 884-9244

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Nephrology Network PLLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince May 29, 2022 Accepting new patients

Locations

1521 S Staples St
Ste 603
Corpus Christi, TX 78404
Phone (361) 664-1723

Interoperability endpoints

  • Direct secure messaging: katie.montgomery@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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 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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1841845286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 603",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043165",
            "telephone_number": "361-884-9244",
            "fax_number": "361-884-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 603",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043165",
            "telephone_number": "361-884-9244",
            "fax_number": "361-884-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WERNECKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.