Individual provider Active NPI

Marci Montague, NP-C

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1942858840
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003952 Issued in FL
Practice address
4304 Canongate CT
Spring Hill, FL 34609-0498
Phone
(814) 795-7550
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 APRN11003952 FL Primary

Addresses

Primary practice location

4304 Canongate CT
Spring Hill, FL 34609-0498

Mailing address

4304 Canongate CT
Spring Hill, FL 34609-0498
Phone (814) 795-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200415002106 FL Practitioner - Nurse Practitioner 4082044029 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ravishankar L Rao M D PA CurrentSince Mar 31, 2020 Accepting new patients
Florida Premier Medical Care PA CurrentSince Jan 18, 2021 Accepting new patients
Vatsala Sastry MD PA PastSince Mar 31, 2020 Accepting new patients

Locations

15435 Cortez Blvd
Brooksville, FL 34613
Phone (352) 796-2909

17222 Hospital Blvd
Ste 250
Brooksville, FL 34601
Phone (352) 544-0610

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1942858840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 CANONGATE CT",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090498",
            "telephone_number": "814-795-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 CANONGATE CT",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090498",
            "telephone_number": "814-795-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "MARCI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.