LYNDSIE RHODEN MONTGOMERY (CRNP) – Family Nurse Practitioner, NPI 1053206011

LYNDSIE RHODEN MONTGOMERY (CRNP) is a healthcare provider. based in Northport, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-181977 (AL). The NPI Number for LYNDSIE RHODEN MONTGOMERY (CRNP) is 1053206011

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LYNDSIE RHODEN MONTGOMERY (CRNP)
NPI
1053206011
Phone
(205) 345-6272
Address
5710 WATERMELON RD STE 600
Enumeration Date
10 June 2025
Last Update Date
10 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053305266
Graduation Year
2025 (1 year ago)
PAC ID
3072000900
Group Practice PAC ID
8921243577
Professional Enrollment ID
I20251014004268
Address ID
AL354737696NO5710XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for LYNDSIE RHODEN MONTGOMERY (CRNP)

  • 5710 WATERMELON RD STE 600

    NORTHPORT, AL 354737696

    Phone: (205) 345-6272

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251014004268INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35473)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921243577View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What unique ID ties claims to LYNDSIE RHODEN MONTGOMERY (CRNP)?
NPI 1053206011 is assigned to LYNDSIE RHODEN MONTGOMERY (CRNP) under the national enumeration system.
Is LYNDSIE RHODEN MONTGOMERY (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LYNDSIE RHODEN MONTGOMERY (CRNP) treat or focus on?
Patients typically see LYNDSIE RHODEN MONTGOMERY (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LYNDSIE RHODEN MONTGOMERY (CRNP)'s primary listing?
We display Northport, Alabama because that is what the record indicates for LYNDSIE RHODEN MONTGOMERY (CRNP).
Is LYNDSIE RHODEN MONTGOMERY (CRNP) a real provider?
This page reflects official NPPES data for NPI 1053206011. Always confirm identity and privileges with the practice and licensing boards.

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