Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225950488 Individual Practitioner Female Practitioner

Mary Montgomery , PA-C

Physician Assistant • Bloomington, IN

Professional Overview & Biography Verified Profile Summary

Mary Montgomery, PA-C is a registered healthcare professional specializing in Physician Assistant in Bloomington, IN. Practice services are available at 2100 S LIBERTY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2100 S Liberty Dr

Bloomington, IN 474035147

Telephone 8126764500

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
70 Specialists

Practicing in Bloomington, IN (2429 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10005406A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Beverly Shamloo , NP

Nurse Practitioner

NPI 1003399759

Nurse Practitioner

Dr. Colin Frank , PharmD

Pharmacist - Ambulatory Care

NPI 1407408933

Doctor of Pharmacy (Pharm.D.)

Michelle Fleener , NP

Nurse Practitioner - Family

NPI 1548088305

Nurse Practitioner

NPI 1548427123

Doctor of Medicine (M.D.)

Heather Anderson , NP-C

Nurse Practitioner

NPI 1548489834

Nurse Practitioner (Certified)

Dakota Richerson , PA-C

Physician Assistant

NPI 1639960073

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 29, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2026

Registered at 2100 S LIBERTY DR, BLOOMINGTON, IN 474035147 (Tel: 8126764500)

📍
Updated Business Mailing Address July 29, 2026

Registered at 2100 S LIBERTY DR, BLOOMINGTON, IN 474035147 (Tel: 8126764500)

👤
Provider Name / Credentials Updated July 29, 2026

Recorded as MARY MONTGOMERY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2026

Physician Assistant (License #10005406A in IN)

🟢
Initial NPI Registration & Enumeration July 29, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225950488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2026
Last Update: July 29, 2026
Sole Proprietor: No

Mailing Address

2100 S Liberty Dr

Bloomington, IN 474035147

Phone: 8126764500

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.