JOSEPH PAUL MONTGOMERY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104155126
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for JOSEPH PAUL MONTGOMERY (PMHNP-BC)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 480803207
Phone: (586) 777-9000
Fax: (586) 777-0823
Type: Mailing
Fountain Square, Davisburg, Oakland County, Michigan, 48350, United States
DAVISBURG, MI 483502552
Phone: (586) 412-5321
Fax: (586) 412-5327
Type: Mailing
42669, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States
CLINTON TWP, MI 480385036
Phone: (586) 412-5321
Fax: (586) 412-5327
Type: Location
11111 HALL RD STE 105
UTICA, MI 483175799
Phone: (248) 656-5003
Fax: (248) 656-5004
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $753.
Total Amount is formed as General ($753) + Research ($0) + Ownership ($0) = $753.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($156).
Total Amount
$753
General + Research + Ownership
Payments
40
Total payment records
General Amount
$753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $156 |
| Lundbeck LLC | $148 |
| Otsuka America Pharmaceutical, Inc. | $111 |
| Neurocrine BioSciences Inc. | $90 |
| Neurocrine BioSciences, Inc. | $51 |
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: 2020-12-17
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 |
|---|---|---|---|---|
| I20201217001816 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
Reviews
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