LARK MONTGOMERY (APRN) – Acute Care Nurse Practitioner, NPI 1922453935
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for LARK MONTGOMERY (APRN)
300 CARSON ST
JONESBORO, AR 724013104
Phone: (870) 932-1198
Type: Location
201 E Oak Ave
Jonesboro, AR 724014163
Phone: (870) 935-6729
Type: Location
225 E Jackson Ave
Jonesboro, AR 724013119
Phone: (870) 207-4100
Type: Location
201, East Oak Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States
JONESBORO, AR 724014163
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $1,247.
Total Amount is formed as General ($1,247) + Research ($0) + Ownership ($0) = $1,247.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Baxter Healthcare ($1,226).
Total Amount
$1,247
General + Research + Ownership
Payments
7
Total payment records
General Amount
$1,247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $1,226 |
| Daiichi Sankyo Inc. | $21 |
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: 2016-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160819000532 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 72401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AR | |
| Nurse Practitioner | AR | |
| Pulmonary Disease | AR | |
| Family Practice | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| N E U R O L O G Y | CA | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR |
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