Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790978617 Individual Practitioner Male Practitioner

Keith Allen Montgomery , NP

Nurse Practitioner • Adelanto, CA

Professional Overview & Biography Verified Profile Summary

Keith Montgomery, NP is a registered healthcare professional specializing in Nurse Practitioner in Adelanto, CA. Practice services are available at 11965 CACTUS RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11965 Cactus Rd

Adelanto, CA 923014906

Telephone 7605616081
Fax 8777789461
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Adelanto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Adelanto, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
18 14 $161.24 $64.38

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95008198

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Medical-Surgical

NUCC Taxonomy Code: 163WM0705X

State License CA 758758

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Molly Hanson , MD

Family Medicine

NPI 1942278312

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 12, 2018

Registered at 11965 CACTUS RD, ADELANTO, CA 923014906 (Tel: 7605616081)

📍
Updated Business Mailing Address July 12, 2018

Registered at 625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 910305801 (Tel: 6263462455)

👤
Provider Name / Credentials Updated July 12, 2018

Recorded as KEITH MONTGOMERY, N.P.

NPI Profile Active August 23, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2007

Registered at 25263 SHEPARDSON DRIVE, LOMA LINDA, CA 92354 (Tel: 9097961537)

📍
Updated Business Mailing Address August 23, 2007

Registered at 25263 SHEPARDSON DR, LOMA LINDA, CA 923542928 (Tel: 9097961537)

👤
Provider Name / Credentials Updated August 23, 2007

Recorded as KEITH MONTGOMERY, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2007

Registered Nurse (License #758758 in CA)

🟢
Initial NPI Registration & Enumeration August 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Keith Montgomery. Be the first to share your experience!

Sign in to leave a review for Keith Montgomery

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790978617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2007
Last Update: July 12, 2018
Sole Proprietor: No

Mailing Address

625 Fair Oaks Ave Ste 270

South Pasadena, CA 910305801

Phone: 6263462455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.