MRS. COURTNEY LEE MONTGOMERY (APRN) – Family Nurse Practitioner, NPI 1942844212

MRS. COURTNEY LEE MONTGOMERY (APRN) is a healthcare provider. based in Palos park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209020129 (IL). The NPI Number for MRS. COURTNEY LEE MONTGOMERY (APRN) is 1942844212

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. COURTNEY LEE MONTGOMERY (APRN)
NPI
1942844212
Phone
(708) 274-3278
Address
13011 S 104TH AVE STE 100
Enumeration Date
30 October 2019
Last Update Date
30 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082743278
Graduation Year
2019 (7 years ago)
PAC ID
8426481409
Group Practice PAC ID
6103738810
Professional Enrollment ID
I20191205000266
Address ID
IL604641515PA13011AVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for MRS. COURTNEY LEE MONTGOMERY (APRN)

  • 13011 S 104TH AVE STE 100

    PALOS PARK, IL 604641508

    Phone: (708) 274-3278

    Type: Location

  • 9532 S HAMLIN AVE

    EVERGREEN PARK, IL 608052029

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $6,136.

Total Amount is formed as General ($6,136) + Research ($0) + Ownership ($0) = $6,136.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($2,034).

Total Amount

$6,136

General + Research + Ownership

Payments

207

Total payment records

General Amount

$6,136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-12-05

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
I20191205000266INurse PractitionerILTBD

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 minutes5654$0
View full utilization report →

Insurance plans in this area (ZIP 60464)

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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: 6103738810View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology), Internal MedicineIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Physician AssistantIL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
-AZ

Reviews

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Frequently asked questions

Is MRS. COURTNEY LEE MONTGOMERY (APRN) listed with a National Provider Identifier?
Yes — MRS. COURTNEY LEE MONTGOMERY (APRN) has NPI 1942844212 on file in the registry.
Is there an active status for MRS. COURTNEY LEE MONTGOMERY (APRN)?
For scheduling context, MRS. COURTNEY LEE MONTGOMERY (APRN) is shown as active in the registry.
How would a patient describe MRS. COURTNEY LEE MONTGOMERY (APRN)'s focus?
For MRS. COURTNEY LEE MONTGOMERY (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. COURTNEY LEE MONTGOMERY (APRN) located near Palos Park?
MRS. COURTNEY LEE MONTGOMERY (APRN) currently maps to Palos Park, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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