DIANA MICHELLE MONTGOMERY (APN) – Nurse Practitioner, NPI 1457356347

DIANA MICHELLE MONTGOMERY (APN) is a healthcare provider. based in Trumann, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. A01699 (AR). The NPI Number for DIANA MICHELLE MONTGOMERY (APN) is 1457356347

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DIANA MICHELLE MONTGOMERY (APN)
NPI
1457356347
Phone
(870) 483-6131
Address
305 W. MAIN STREET
Enumeration Date
16 June 2005
Last Update Date
17 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709358388
Graduation Year
2002 (24 years ago)
PAC ID
6204722580
Group Practice PAC ID
2961547526
Professional Enrollment ID
I20040224000781
Address ID
AR724729602TR516XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for DIANA MICHELLE MONTGOMERY (APN)

  • 305, West Main Street, Trumann, Poinsett County, Arkansas, 72472, United States

    NEA BAPTIST CLINIC

    TRUMANN, AR 72472

    Phone: (870) 483-6131

    Fax: (870) 483-2573

    Type: Location

  • PO BOX 1960

    NEA BAPTIST CLINIC

    JONESBORO, AR 724031960

    Phone: (870) 483-6131

    Fax: (870) 483-2573

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,078.

Total Amount is formed as General ($1,078) + Research ($0) + Ownership ($0) = $1,078.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($351).

Total Amount

$1,078

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-24

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
I20040224000781INurse PractitionerARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes313158$0
36415Insertion of needle into vein for collection of blood sample190119$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count13694$0
99213Established patient office or other outpatient visit, 20-29 minutes13593$0
81000Manual urinalysis test with examination using microscope, non-automated6747$0
View full utilization report →

Insurance plans in this area (ZIP 72472)

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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: 2961547526View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Internal MedicineAR
-CA
Nurse PractitionerAR
-AR
-TN
-AR
Nurse PractitionerTN
Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyTN
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify DIANA MICHELLE MONTGOMERY (APN) with an NPI only?
You can start verification with NPI 1457356347 for DIANA MICHELLE MONTGOMERY (APN), then check state licensing separately.
Is DIANA MICHELLE MONTGOMERY (APN) still practicing?
DIANA MICHELLE MONTGOMERY (APN) is currently listed as active in the public NPI registry.
What is DIANA MICHELLE MONTGOMERY (APN)'s specialty?
The listing groups DIANA MICHELLE MONTGOMERY (APN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DIANA MICHELLE MONTGOMERY (APN) based?
DIANA MICHELLE MONTGOMERY (APN) is tied to Trumann, Arkansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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