Kimberly Dawn Montgomery, AGACNP - Medicare Certified Clinical Nurse Specialist (cns) in Ft Worth, TX

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Kimberly Dawn Montgomery, AGACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Ft Worth, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Dfw Critical Care Llc and her current practice location is 1400 8th Ave Bldg C, Suite 3001, Ft Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 922-2173.

Kimberly Dawn Montgomery is licensed to practice in Texas (license number 1074250) 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 1568802940.

Contact Information

Kimberly Dawn Montgomery, AGACNP
1400 8th Ave Bldg C, Suite 3001,
Ft Worth, TX 76104-4110
(817) 922-2173
(817) 922-1047

Map and Direction




Provider's Profile

Full NameKimberly Dawn Montgomery
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience12 Years
Location1400 8th Ave Bldg C, Ft Worth, Texas
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:
  • Kimberly Dawn Montgomery graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1568802940
  • Provider Enumeration Date: 06/28/2013
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850527243
  • Enrollment ID: I20131113000236

Medical Identifiers

Medical identifiers for Kimberly Dawn Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568802940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health 665885 (Texas)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 1074250 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White All Saints Medical Center Fort WorthFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dfw Critical Care Llc761826188412

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. Kimberly Dawn Montgomery allows following entities to bill medicare on her behalf.
Entity NameTexas Centers For Infectious Disease Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750332441
PECOS PAC ID: 4880596451
Enrollment ID: O20040123000462
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187
Entity NameDallas Pulmonary & Critical Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235402728
PECOS PAC ID: 2163679200
Enrollment ID: O20120824000752
Entity NameDfw Critical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184071771
PECOS PAC ID: 7618261884
Enrollment ID: O20160810002395
Entity NameSound Physicians Anesthesiology Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295356277
PECOS PAC ID: 1254751407
Enrollment ID: O20201009000612

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. Kimberly Dawn 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
Kimberly Dawn Montgomery, AGACNP
1001 College Ave Ste A,
Ft Worth, TX 76104-3000

Ph: (817) 336-6000		Kimberly Dawn Montgomery, AGACNP
1400 8th Ave Bldg C, Suite 3001,
Ft Worth, TX 76104-4110

Ph: (817) 922-2173

Reviews and Comments


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Sara C Michael, ARNP
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Phone: 877-868-4827    
James Randall Radnedge, RNC,NNP
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Practice Location: 1301 Pennsylvania Ave, Ft Worth, TX 76104
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Casie Laine Coon, FNP
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Practice Location: 7510 N Beach St, Ft Worth, TX 76137
Phone: 817-498-1818    Fax: 817-581-3761

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.