Mary Montgomery, CPNP
NPI 1114704996 · Pediatric Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Montgomery, CPNP is a Pediatric Nurse Practitioner provider in Saint Louis, MO (NPI 1114704996).
Provider details
- NPI number
- 1114704996
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2022039874 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Mary Montgomery's NPI number?
- Mary Montgomery's National Provider Identifier (NPI) is 1114704996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Montgomery's specialty?
- Mary Montgomery is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Montgomery located?
- Mary Montgomery's practice location on file with NPPES is 9415 High Hill Ct, Saint Louis, MO 63126-2106.
- What is Mary Montgomery's phone number?
- The practice phone number listed in the NPPES registry for Mary Montgomery is (314) 458-2793.
- Does Mary Montgomery accept Medicare?
- Mary Montgomery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Montgomery's NPI active?
- Yes — Mary Montgomery's NPI (1114704996) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.