Kimberly Nesbitt Montgomery, FNP - Medicare Nurse Practitioner in Charlotte, NC

Kimberly Nesbitt Montgomery, FNP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Randolph Internal Medicine Associates, Select Physical Therapy Texas Limited Partnership and her current practice location is 3030 Randolph Rd, Ste 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 512-5000.

Kimberly Nesbitt Montgomery is licensed to practice in North Carolina (license number 201590) 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 1013979228.

Contact Information

Kimberly Nesbitt Montgomery, FNP
3030 Randolph Rd, Ste 200,
Charlotte, NC 28211-1368
(704) 512-5000
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Nesbitt Montgomery
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location3030 Randolph Rd, Charlotte, North Carolina
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 Nesbitt Montgomery graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1013979228
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406878768
  • Enrollment ID: I20051229000739

Medical Identifiers

Medical identifiers for Kimberly Nesbitt Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013979228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 201590 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 201590 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Randolph Internal Medicine Associates48806821608
Select Physical Therapy Texas Limited Partnership6608868070529

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 Nesbitt Montgomery allows following entities to bill medicare on her behalf.
Entity NameRandolph Internal Medicine Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689604340
PECOS PAC ID: 4880682160
Enrollment ID: O20040505000149

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 Nesbitt 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 Nesbitt Montgomery, FNP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Kimberly Nesbitt Montgomery, FNP
3030 Randolph Rd, Ste 200,
Charlotte, NC 28211-1368

Ph: (704) 512-5000

Reviews and Comments


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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).

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