JACLYN MONTGOMERY, APRN, FNP-BC
Family Nurse Practitioner · CLEVELAND, TN
Individual Active NPI 1043917297
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 126 | 407 | $27,281 | $9,227 | $8,282 |
| 2023 | 88 | 284 | $16,047 | $6,012 | $5,652 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 144 | $16 | $16 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 72 | $41 | $41 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 56 | $16 | $16 |
| 96127 | Assessment of emotional or behavioral problems | 29 | $4 | $3 |
| 81003 | Automated urinalysis test | 27 | $2 | $2 |
| 71046 | X-ray of chest, 2 views | 20 | $19 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ✓ | 33639 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.