Individual provider Active NPI

Rebecca M Montgomery, CNM

  • Advanced Practice Midwife
  • Barre, VT
National Provider Identifier
1851345854
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1010024494 Issued in VT
Practice address
90 Washington St
Barre, VT 05641-4239
Phone
(802) 476-6696
NPI assigned
May 22, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1010024494 VT Primary

Addresses

Primary practice location

90 Washington St
Barre, VT 05641-4239

Mailing address

784 Hercules Dr Ste 110
Colchester, VT 05446-5838
Phone (802) 448-9719

Other identifiers 1

IdentifierTypeStateIssuer
1007432MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000694 VT Practitioner - Certified Nurse Midwife (CNM) 0042404915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vermont Gynecology PCGroup PAC ID 0244428357, 8 clinicians

Practice addresses (Care Compare)

1775 Williston Rd
Suite 110
South Burlington, VT 05403-6491
Phone (802) 735-1252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.39 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
55.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1010024494VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Gynecology, PC CurrentSince Oct 25, 2017 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jul 1, 2016 Accepting new patients
Planned Parenthood of Northern New England PastSince Jun 28, 2016 Accepting new patients
Planned Parenthood of Northern New England PastSince Jun 28, 2016 Accepting new patients
Planned Parenthood of Northern New England PastSince Oct 26, 2015 Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1775 Williston Rd
Ste 110
South Burlington, VT 05403
Phone (800) 530-1140

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 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1851345854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HERCULES DR STE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465838",
            "telephone_number": "802-448-9719",
            "fax_number": "802-660-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414239",
            "telephone_number": "802-476-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "1010024494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007432",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

Verify at the official NPI Registry.