LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) – Nurse Practitioner, NPI 1720643554

LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) is a healthcare provider. based in Little elm, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. AP141093 (TX). The NPI Number for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) is 1720643554

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LAKISHA EVETTE MONTGOMERY (APRN, FNP-C)
NPI
1720643554
Phone
(972) 987-0458
Address
2700 E ELDORADO PKWY # 104B
Enumeration Date
7 May 2019
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9408431455
Graduation Year
2018 (8 years ago)
PAC ID
1557698966
Group Practice PAC ID
8921459744
Professional Enrollment ID
I20190808000094
Address ID
TX750383027IR1329XLNXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C)

  • Eldorado Parkway, Little Elm, Denton County, Texas, 75033, United States

    LITTLE ELM, TX 750685999

    Phone: (972) 987-0458

    Type: Mailing

  • 13052 DALLAS PKWY STE 210

    FRISCO, TX 750334241

    Phone: (940) 365-9001

    Fax: (940) 365-9009

    Type: Mailing

  • 1329 W WALNUT HILL LN STE 102

    IRVING, TX 750383270

    Phone: (940) 843-1455

    Fax: (972) 535-0441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,893.

Total Amount is formed as General ($1,893) + Research ($0) + Ownership ($0) = $1,893.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($748).

Total Amount

$1,893

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,893

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2019-08-08

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
I20190808000094INurse PractitionerTXTBD

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 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 75068)

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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: 8921459744View full group profile
NameSpecialtyState
Nurse PractitionerTX
General PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) in U.S. healthcare records?
The official identifier for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) is NPI 1720643554.
Is LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) still an active registrant?
LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) carries an active NPI according to the public dataset.
How would a patient describe LAKISHA EVETTE MONTGOMERY (APRN, FNP-C)'s focus?
For LAKISHA EVETTE MONTGOMERY (APRN, FNP-C), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C)?
Travel planning: use Little Elm, Texas as the reference point for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C), then confirm.
When was this NPI issued?
Enumeration for LAKISHA EVETTE MONTGOMERY (APRN, FNP-C) is noted as May 7, 2019 where the registry provides it.

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