MAKENLEA K MONTAGUE (FNP-C) – Family Nurse Practitioner, NPI 1386357812

MAKENLEA K MONTAGUE (FNP-C) is a healthcare provider. based in Columbia, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2022049694 (MO). The NPI Number for MAKENLEA K MONTAGUE (FNP-C) is 1386357812

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MAKENLEA K MONTAGUE (FNP-C)
NPI
1386357812
Phone
(573) 234-1000
Address
2011 CORONA RD STE 207
Enumeration Date
29 December 2022
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732341000
Graduation Year
2022 (4 years ago)
PAC ID
9234502857
Group Practice PAC ID
7517040447
Professional Enrollment ID
I20230302000221
Address ID
MO652032548CO2011XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MAKENLEA K MONTAGUE (FNP-C)

  • 2011 CORONA RD STE 207

    COLUMBIA, MO 652032548

    Phone: (573) 234-1000

    Fax: (573) 234-1771

    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)

CMS reports 37 Open Payments records for all available years, with a total value of $1,246.

Total Amount is formed as General ($1,246) + Research ($0) + Ownership ($0) = $1,246.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($380).

Total Amount

$1,246

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2023-03-02

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
I20230302000221INurse PractitionerMOTBD

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 65203)

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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: 7517040447View full group profile
NameSpecialtyState
D E R M A T O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for MAKENLEA K MONTAGUE (FNP-C)?
The registry entry for MAKENLEA K MONTAGUE (FNP-C) shows NPI 1386357812.
Does the public listing show MAKENLEA K MONTAGUE (FNP-C) as active?
MAKENLEA K MONTAGUE (FNP-C)'s NPI record reflects an active status in NPPES.
What does the directory say MAKENLEA K MONTAGUE (FNP-C) does?
Insurance directories may phrase it differently, but here MAKENLEA K MONTAGUE (FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MAKENLEA K MONTAGUE (FNP-C)?
The directory associates MAKENLEA K MONTAGUE (FNP-C) with Columbia, Missouri. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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