Autumn Kathryn Montgomery, FNP-C - Medicare Nurse Practitioner in Kokomo, IN

  1. Home
  2. Nurse Practitioner
  3. IN
  4. Kokomo
Autumn Kathryn Montgomery, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. Her current practice location is 3518 S Lafountain St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 453-4667.

Autumn Kathryn Montgomery is licensed to practice in Indiana (license number 71008480A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770065187.

Contact Information

Autumn Kathryn Montgomery, FNP-C
3518 S Lafountain St,
Kokomo, IN 46902-3803
(765) 453-4667
Not Available

Map and Direction




Provider's Profile

Full NameAutumn Kathryn Montgomery
GenderFemale
SpecialityNurse Practitioner - Family
Location3518 S Lafountain St, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770065187
  • Provider Enumeration Date: 08/31/2018
  • Last Update Date: 03/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840535548
  • Enrollment ID: I20190712002763

Medical Identifiers

Medical identifiers for Autumn Kathryn Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770065187NPI-NPPES
71008480AOtherINAPRN PRESCRIPTIVE AUTHORITY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71008480A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Autumn Kathryn Montgomery allows following entities to bill medicare on her behalf.
Entity NameWest Florida Medical Associates P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265515001
PECOS PAC ID: 9032023221
Enrollment ID: O20040401000131
Entity NameNature Coast Geriatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417340654
PECOS PAC ID: 0244541282
Enrollment ID: O20150617003035

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Kathryn Montgomery is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Autumn Kathryn Montgomery, FNP-C
5534 Saint Joe Rd,
Fort Wayne, IN 46835-3328

Ph: (317) 670-6794		Autumn Kathryn Montgomery, FNP-C
3518 S Lafountain St,
Kokomo, IN 46902-3803

Ph: (765) 453-4667

Reviews and Comments


Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3500 S Lafountain St, Kokomo, IN 46902
Phone: 765-453-8571    Fax: 765-453-8637
Miranda Tedder,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mandy Vires, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902
Phone: 317-654-3487    
Raymond Candelaria,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mrs. Lisa D Stults, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1907 W Sycamore St, Kokomo, IN 46901
Phone: 765-456-5900    
Angela J Bowman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901
Phone: 765-453-1254    Fax: 765-864-8732
Mary Hendrix,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902
Phone: 765-864-4160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.