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Active NPI 1346832011 Individual Practitioner Female Practitioner

Kathleen Montgomery , MSN, APRN, AGACNP-BC

Nurse Practitioner - Acute Care • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kathleen Montgomery, MSN, APRN, AGACNP-BC is a certified Nurse Practitioner - Acute Care practicing in Springfield, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Kathleen Montgomery delivers high-quality medical care to the local community at 747 N RUTLEDGE ST FL 4.

Kathleen Montgomery is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St Fl 4

Springfield, IL 627026700

Telephone 2175458000
Fax 2175457053
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -7.9 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Springfield, IL (644 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Montgomery (6 Years) 6 Yrs
Springfield Specialty Average (13.9 Years) 13.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-04
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License IL 209.022480

Definition to come...

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

747 N Rutledge St, Springfield, IL 627026700

Phone: 2175458000

Secondary Practice Locations

701 N 1st St

Springfield, IL 627814829

Phone: 2175287541

619 E Mason St Ste 5

Springfield, IL 627011080

Phone: 2175458000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 04, 2025

Registered at 747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍
Updated Business Mailing Address September 04, 2025

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

📍
Updated Business Mailing Address July 14, 2025

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

📍
Updated Practice Location April 20, 2021

Registered at 701 N 1ST ST, SPRINGFIELD, IL 627814829 (Tel: 2175287541)

📍
Updated Business Mailing Address April 20, 2021

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

NPI Profile Active February 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2021

Registered at 3301 STANTON ST, SPRINGFIELD, IL 627034829 (Tel: 2178013236)

📍
Updated Business Mailing Address February 04, 2021

Registered at 3301 STANTON ST, SPRINGFIELD, IL 627034829 (Tel: 2178013236)

👤
Provider Name / Credentials Updated February 04, 2021

Recorded as KATHLEEN MONTGOMERY, MSN, APRN, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2021

Nurse Practitioner (License #209.022480 in IL)

🟢
Initial NPI Registration & Enumeration February 04, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346832011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2021
Last Update: September 04, 2025
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

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.