Individual provider Active NPI

Rosemarie Abid Montgomery, FNP-C

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1881695682
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009300 Issued in PA
Practice address
985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone
(610) 374-5599
Fax
(610) 375-1262
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009300 PA Primary

Addresses

Primary practice location

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268

Mailing address

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone (610) 374-5599

Other identifiers 1

IdentifierTypeStateIssuer
1022183940001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmontgomery@ent985.medent.com Health Information Exchange (HIE)

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
I20071015000080 PA Practitioner - Nurse Practitioner 8022094721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Head and Neck Specialists, PCGroup PAC ID 3173500451, 11 clinicians

Practice addresses (Care Compare)

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone (610) 374-5599

Hospital & facility affiliations

  • Surgical Institute of Reading Hospital, Wyomissing, PA, CCN 390316
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP009300PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Head & Neck Specialists PC CurrentSince Aug 13, 2007 Accepting new patients

Locations

985 Berkshire Blvd
Ste 101
Wyomissing, PA 19610
Phone (215) 374-5599

Interoperability endpoints

  • Direct secure messaging: rmontgomery@ent985.medentdirect.com

Organizations & group practices 1

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 7

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1881695682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 BERKSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101268",
            "telephone_number": "610-374-5599",
            "fax_number": "610-375-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BERKSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101268",
            "telephone_number": "610-374-5599",
            "fax_number": "610-375-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROSEMARIE",
        "middle_name": "ABID",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022183940001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmontgomery@ent985.medent.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "985 Berkshire Blvd",
            "address_2": "Suite 101",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.