Individual provider Active NPI

Denise L. Montgomery, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlevoix, MI
National Provider Identifier
1922252618
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704272096 Issued in MI
Practice address
14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Phone
(231) 547-4024
NPI assigned
Nov 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-250616 OH
Certified Registered Nurse Anesthetist 367500000X 4704272096 MI Primary

Addresses

Primary practice location

14700 Lake Shore Dr
Charlevoix, MI 49720-1999

Mailing address

14700 Lake Shore Dr
Charlevoix, MI 49720-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000051 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759420243 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-250616OHMDRegistered Nurse
4704272096MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 1, 2019 Accepting new patients
Munson Healthcare Charlevoix Hospital Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2025 Accepting new patients
Munson Healthcare Cadillac CurrentSince Oct 13, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Oct 13, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Aug 1, 2020 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2016 Accepting new patients
Munson Healthcare Cadillac Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2025 Accepting new patients
Munson Healthcare Charlevoix Hospital Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Dec 1, 2022 Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients

Locations

3775 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Organizations & group practices 14

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.

View all 14

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": "1226102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1922252618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 LAKE SHORE DR",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 LAKE SHORE DR",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201999",
            "telephone_number": "231-547-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DENISE",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-08",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-250616",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704272096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.