KIMBERLY DAWN MONTGOMERY (AGACNP) – Critical Care Medicine Nurse Practitioner, NPI 1568802940
Critical Care Medicine Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in TX
Provider Addresses for KIMBERLY DAWN MONTGOMERY (AGACNP)
1400 8TH AVE BLDG C
SUITE 3001
FT WORTH, TX 761044110
Phone: (817) 922-2173
Fax: (817) 922-1047
Type: Mailing
221 W Colorado Blvd
Pavillion 2, Ste 525
Dallas, TX 75208
Phone: (214) 960-5681
Type: Location
1001 COLLEGE AVE STE A
FT WORTH, TX 761043000
Phone: (817) 336-6000
Fax: (817) 336-2072
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-11-13
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 |
|---|---|---|---|---|
| I20131113000236 | I | Certified Clinical Nurse Specialist (Cns) | TX | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 29 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | 14 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 16 | 16 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | NC | |
| Critical Care (Intensivists), Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Critical Care (Intensivists), Internal Medicine | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Critical Care (Intensivists), Internal Medicine | TX |
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