Kelly Nicole Montgomery, FNP - Medicare Nurse Practitioner in Medina, OH

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Kelly Nicole Montgomery, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Medina, Ohio. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Recovery Concepts, Llc and her current practice location is 3591 Reserve Commons Dr Ste 100, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 450-1613.

Kelly Nicole Montgomery is licensed to practice in Ohio (license number APRN.CNP.0028297) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609466770.

Contact Information

Kelly Nicole Montgomery, FNP
3591 Reserve Commons Dr Ste 100,
Medina, OH 44256-5334
(216) 450-1613
(216) 450-1614

Map and Direction




Provider's Profile

Full NameKelly Nicole Montgomery
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location3591 Reserve Commons Dr Ste 100, Medina, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Nicole Montgomery graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1609466770
  • Provider Enumeration Date: 01/22/2021
  • Last Update Date: 02/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820404155
  • Enrollment ID: I20210310001987

Medical Identifiers

Medical identifiers for Kelly Nicole Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609466770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0028297 (Ohio)Secondary
363L00000XNurse Practitioner APRN.CNP.0028297 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0028297 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Recovery Concepts, Llc599100586025

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. Kelly Nicole Montgomery allows following entities to bill medicare on her behalf.
Entity NameAdvanced Recovery Concepts, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619348414
PECOS PAC ID: 5991005860
Enrollment ID: O20151125000337

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. Kelly Nicole 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
Kelly Nicole Montgomery, FNP
25700 Science Park Dr Ste 210,
Beachwood, OH 44122-7328

Ph: (216) 450-1613		Kelly Nicole Montgomery, FNP
3591 Reserve Commons Dr Ste 100,
Medina, OH 44256-5334

Ph: (216) 450-1613

Reviews and Comments


Nurse Practitioner Nurses in Medina, OH

Margaret Hosfield Maisel, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5075 Windfall Rd, Medina, OH 44256
Phone: 330-722-4771    Fax: 330-722-5266
Jessica Gutwein, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 970 E Washington St, Medina, OH 44256
Phone: 330-721-5700    
Becky Coyner, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E. Washington Street, Medina, OH 44256
Phone: 330-721-4955    
Ashley Adams,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3567 Reserve Commons Dr Ste 100, Medina, OH 44256
Phone: 330-664-9250    
Caroline Molony, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256
Phone: 330-536-3746    
Cheryl Ann Green,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256
Phone: 330-723-7999    Fax: 330-764-9907
Holly Zienkowski, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 970 E Washington St, Medina, OH 44256
Phone: 330-466-6919    

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.