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Deactivated NPI 1588266399 Deactivated / Inactive NPI Female Practitioner

Devon Shenae Montgomery , NP-C

Nurse Practitioner - Family • Amarillo, TX

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Devon Montgomery has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2020
NPI Deactivation Date June 15, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Devon Montgomery, NP-C was a registered Nurse Practitioner - Family practicing in Amarillo, TX. Throughout an active medical career spanning 1 years, Devon Montgomery provided care at the practice location at 4510 BELL ST until profile deactivation on 2021-06-15.

Devon Montgomery was affiliated with Bsa Physicians Group Inc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, detection test by immunoassay with direct visual observation for streptococcus, group a (strep), detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4510 Bell St

Amarillo, TX 791095714

Telephone 8062124835
Associated Practice Facility / Clinic
🏢 Bsa Physicians Group Inc Facility NPI 1467619965

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 - Family in Amarillo, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -2.8 yrs vs City Avg
City Avg: 8.8 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
282 Specialists

Practicing in Amarillo, TX (21454 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Montgomery (6 Years) 6 Yrs
Amarillo Specialty Average (8.8 Years) 8.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
48 47 $162.00 $72.69
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
24 24 $30.00 $16.20
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
23 23 $162.00 $68.88
71046 X-ray of chest, 2 views
13 13 $65.00 $20.00

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX 1014033

Definition to come...

Hospital & Practice Group Affiliations

Bsa Physicians Group Inc

4510 Bell St, Amarillo, TX 791095714

Phone: 8062124835

Practice Associates & Co-Workers

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

15 Associated Practitioners
Kevin Fleming , FNP-C

Nurse Practitioner - Family

NPI 1023531191

Family Nurse Practitioner (Certified)

Sydnee Jenschke , FNP-C

Nurse Practitioner - Family

NPI 1063284560

Family Nurse Practitioner (Certified)

NPI 1144223744

Doctor of Medicine (M.D.)

Zhila Khamisi Asl , PA

Physician Assistant

NPI 1194166850

Physician Assistant

Monica Prieto , FNP-C

Nurse Practitioner - Family

NPI 1245795780

Family Nurse Practitioner (Certified)

NPI 1316101413

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location April 01, 2025

Registered at 4510 BELL ST, AMARILLO, TX 791095714 (Tel: 8062124835)

📍
Updated Business Mailing Address April 01, 2025

Registered at 4510 BELL ST, AMARILLO, TX 791095714 (Tel: 8062124835)

👤
Provider Name / Credentials Updated April 01, 2025

Recorded as DEVON MONTGOMERY, NP-C

📍
Updated Practice Location October 05, 2023

Registered at 539 SE 2ND ST, TULIA, TX 790882400 (Tel: 8069953581)

📍
Updated Business Mailing Address October 05, 2023

Registered at PO BOX 808, TULIA, TX 790880808 (Tel: 8069953581)

👤
Provider Name / Credentials Updated October 05, 2023

Recorded as DEVON BROCK, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2023

Nurse Practitioner (License #1014033 in TX)

📍
Updated Practice Location July 15, 2021

Registered at 140 W LAMBERTH RD STE C, SHERMAN, TX 750922668 (Tel: 9032519040)

📍
Updated Business Mailing Address July 15, 2021

Registered at 140 W LAMBERTH RD STE C, SHERMAN, TX 750922668 (Tel: 9032519040)

👤
Provider Name / Credentials Updated July 15, 2021

Recorded as DEVON BROCK, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Family Medicine (License #1014033 in TX)

⚠️
NPI Profile Deactivated June 15, 2021

Record deactivated on June 15, 2021

NPI Profile Active November 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2020

Registered at 140 W LAMBERTH RD STE C, SHERMAN, TX 750922668 (Tel: 9032519040)

📍
Updated Business Mailing Address November 16, 2020

Registered at 140 W LAMBERTH RD STE C, SHERMAN, TX 750922668 (Tel: 9032519040)

👤
Provider Name / Credentials Updated November 16, 2020

Recorded as DEVON BROCK, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2020

Family Medicine (License #1014033 in TX)

🟢
Initial NPI Registration & Enumeration November 16, 2020

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: 1588266399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2020
Last Update: April 01, 2025
Deactivation Date: June 15, 2021
Sole Proprietor: No

Mailing Address

4510 Bell St

Amarillo, TX 791095714

Phone: 8062124835

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.