Active NPI
Denise L. Montgomery, CRNA
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704272096
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-250616 | OH | MD | Registered Nurse |
| 4704272096 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Resource Anesthesiology Associates of Mi PC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | 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.
-
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1225151897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1568755882
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1063598845
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
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.