SHANON DAVID MONTGOMERY NP
NPI 1710347901
Nurse Practitioner in Iron Mountain, MI

NPI Status: Active since March 01, 2016

Contact Information

440 WOODWARD AVE
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 776-9040
Fax: (906) 774-7279

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  • Individual
  • Male
  • Nurse Practitioner
  • PECOS Enrolled

About SHANON MONTGOMERY

This page provides the complete NPI Profile along with additional information for Shanon Montgomery, a provider established in Iron Mountain, Michigan with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1710347901 assigned on March 2016. The practitioner's primary taxonomy code is 363L00000X with license number 4704217286 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1710347901
Provider Name
SHANON DAVID MONTGOMERY NP
Gender
Male
Entity Type
Individual
Location Address
440 WOODWARD AVE IRON MOUNTAIN, MI 49801
Location Phone
(906) 776-9040
Location Fax
(906) 774-7279
Mailing Address
PO BOX 22487 GREEN BAY, WI 54305
Mailing Phone
(920) 445-7222
Mailing Fax
(906) 774-7279
Is Sole Proprietor?
No
Enumeration Date
03-01-2016
Last Update Date
02-14-2020
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A nurse practitioner (NP) like Shanon Montgomery is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704217286
License State
MI
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AG0216095OTHER (01)AMERICAN ACADEMY OF NURSE PRACTITIONERS

Medicare Participation & PECOS Enrollment Status

Shanon Montgomery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)

    1 DME suppliers used 15 Medicare Claims 390 Services Paid

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 36 Medicare Claims 36 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    2 DME suppliers used 16 Medicare Claims 16 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 39 times for 39 patients

Blood test, basic group of blood chemicals (calcium, total)

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

This service was performed 25 times for 23 patients

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 111 times for 87 patients

Blood test, lipids (cholesterol and triglycerides)

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

This service was performed 72 times for 65 patients

Blood test, thyroid stimulating hormone (tsh)

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

This service was performed 50 times for 40 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

This service was performed 12 times for 12 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 113 times for 85 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 104 times for 77 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 214 times for 127 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 40 times for 32 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 164 times for 112 patients

Manual urinalysis test with examination using microscope, automated

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

This service was performed 40 times for 31 patients

Prostate cancer screening; prostate specific antigen test (psa)

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

This service was performed 19 times for 19 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

This service was performed 12 times for 12 patients

Transitional care management services for problem of moderate complexity

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.74
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710347901
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720641490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 4 + 1 + 4 + 9 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1710347901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730189663 ALEXANDER SHELTON JUDY MD
Individual
Family Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(900) 677-6904
1346223278DR. STEPHEN RAYMOND LEONARD M.D.
Individual
Internal Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 775-9040
1366786626DICKINSON COUNTY HEALTHCARE SYSTEM
Organization
Clinic/Center (Radiology)440 WOODWARD AVE SUITE A
IRON MOUNTAIN, MI 49801
(906) 828-1831
1194069419DICKINSON COUNTY HEALTHCARE SYSTEM
Organization
Clinical Medical Laboratory440 WOODWARD AVE SUITE B
IRON MOUNTAIN, MI 49801
(906) 828-1832
1710321633NEW DERMATOLOGY GROUP LTD
Organization
Dermatology440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(920) 965-0345
1174536650 ELLEN E VAN LAANEN DO
Individual
Family Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1023477056 DANIEL BRIAN JOHNSON NP
Individual
Nurse Practitioner (Family)440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1043508203 JAIME ALLAN SANTI
Individual
Nurse Practitioner (Family)440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1619316270DR. CAMERON PHILIP WERNER M.D.
Individual
Family Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1467452391 JOHN RAY GROENEVELD MD
Individual
Family Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1568870004 MICHAEL F DUCKWALL FNP
Individual
Nurse Practitioner (Family)440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1225049455DR. DANIEL J MCMAHON MD
Individual
Family Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1548578909 MICHELE F BOEHMER MS, RD
Individual
Dietitian, Registered440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1891352605 CAITLIN H WINTERS OT
Individual
Occupational Therapist440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1205287604BELLIN PSYCHIATRIC CENTER INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1144535485 JENNIFER ANN GIBBONS CNP
Individual
Nurse Practitioner (Acute Care)440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1639117799 BARBARA ANN WASHINGTON MD
Individual
Internal Medicine (Cardiovascular Disease)440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1790045078BELLIN MEMORIAL HOSPITAL INC
Organization
Family Medicine440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(920) 445-7226
1487101531 JEREME STEPHEN SMITH PA-C
Individual
Physician Assistant440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040
1215593660 ALICIA KATHERINE BARNES FNP
Individual
Nurse Practitioner (Family)440 WOODWARD AVE
IRON MOUNTAIN, MI 49801
(906) 776-9040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710347901, enumerated in the NPI registry as an "individual" on March 01, 2016

The provider is located at 440 Woodward Ave Iron Mountain, Mi 49801 and the phone number is (906) 776-9040

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Blood test, basic group of blood chemicals (calcium, total), Blood test, comprehensive group of blood chemicals, Blood test, lipids (cholesterol and triglycerides), Blood test, thyroid stimulating hormone (tsh), Complete blood cell count (red cells, white blood cell, platelets), automated test, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hemoglobin a1c level, Insertion of needle into vein for collection of blood sample, Manual urinalysis test with examination using microscope, automated, Prostate cancer screening; prostate specific antigen test (psa), Routine electrocardiogram (ecg) using at least 12 leads with tracing and Transitional care management services for problem of moderate complexity.

This NPI record was last updated on March 01, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.