Individual provider Active NPI

Marlena Ann Montgomery, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1942935218
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1086302 Issued in TX
Practice address
2101 W Spring Creek Pkwy
Plano, TX 75023-4103
Phone
(866) 389-2727
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 AP1086302 TX Primary

Addresses

Primary practice location

2101 W Spring Creek Pkwy
Plano, TX 75023-4103

Mailing address

143 S Denton Tap Rd Ste 180
Coppell, TX 75019-3375
Phone (940) 206-9535

Other practice location 1

143 S Denton Tap Rd Ste 180
Coppell, TX 75019-3375
Phone (469) 564-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220813000735 TX Practitioner - Nurse Practitioner 6709269467 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

2101 W Spring Creek Pkwy
Plano, TX 75023-4103
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1086302TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 23, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jul 23, 2025 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family Medicine CurrentSince May 25, 2025 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

143 S Denton Tap Rd
Ste 180
Coppell, TX 75019
Phone (469) 564-1119

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

9591 Sage Meadow Trl
Fort Worth, TX 76177
Phone (817) 857-6534

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

2101 W Spring Creek Pkwy
Plano, TX 75023
Phone (972) 209-2900

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1942935218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S DENTON TAP RD STE 180",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193375",
            "telephone_number": "940-206-9535",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W SPRING CREEK PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234103",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 S Denton Tap Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750193375",
            "country_code": "US",
            "telephone_number": "469-564-1119",
            "fax_number": "512-782-9316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARLENA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1086302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.