MRS. IDA SUE MONTGOMERY (CRNP) – Primary Care Nurse Practitioner, NPI 1104809359

MRS. IDA SUE MONTGOMERY (CRNP) is a healthcare provider. based in Fort rucker, Alabama. specializing in Primary Care Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. APRN-384 (HI). The NPI Number for MRS. IDA SUE MONTGOMERY (CRNP) is 1104809359

Main info

Female
Name
MRS. IDA SUE MONTGOMERY (CRNP)
NPI
1104809359
Phone
(334) 255-7387
Address
301 ANDREWS AVENUE
Enumeration Date
22 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. IDA SUE MONTGOMERY (CRNP)

  • Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States

    LYSTER ARMY OUTPATIENT CLINIC

    FORT RUCKER, AL 36362

    Phone: (334) 255-7387

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 36362)

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Reviews

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Frequently asked questions

Can I use this page to confirm MRS. IDA SUE MONTGOMERY (CRNP)'s NPI?
Yes. MRS. IDA SUE MONTGOMERY (CRNP) is listed with NPI 1104809359 in the public NPI dataset.
Does the file indicate MRS. IDA SUE MONTGOMERY (CRNP) is practicing under active NPI?
Directory data currently reports MRS. IDA SUE MONTGOMERY (CRNP) as active.
What is MRS. IDA SUE MONTGOMERY (CRNP)'s specialty?
The listing groups MRS. IDA SUE MONTGOMERY (CRNP) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. IDA SUE MONTGOMERY (CRNP) based?
MRS. IDA SUE MONTGOMERY (CRNP) is tied to Fort Rucker, Alabama in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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