Shanon David Montgomery

NP | Nurse Practitioner | 10+ years Exp

440 Woodward Ave, Iron Mountain
  Michigan, 49801-4631
906-776-9040
Accepts Medicare Nurse Anesthetist in Iron Mountain, Michigan.
Shanon David Montgomery is a Iron Mountain, Michigan based nurse practitioner with 10 years of experience in . He completed his graduation in 2015. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shanon David Montgomery is 4704217286 in Michigan. His current practice location is 440 Woodward Ave, Iron Mountain. Patients can reach him at 906-776-9040 or can fax him at 906-774-7279. Shanon David Montgomery is NP and his NPI number (Unique professional ID assigned by NPPES) is 1710347901.
Shanon David Montgomery has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Shanon David Montgomery speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Shanon David Montgomery
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP
Experience: 10+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:440 Woodward Ave, Iron Mountain,
Michigan, 49801-4631
Phone:906-776-9040
Fax:906-774-7279
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6204132517
Enrollment ID: I20160314000838
NPI Number: 1710347901
NPI Enumeration Date: 01 Mar, 2016
NPI Last Update On: 14 Feb, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shanon David Montgomery are as mentioned below.
License NumberSpecializationStateStatus
4704217286 MichiganPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(520049)Green bay, WIAcute Care Hospital
(230055)Iron mountain, MIAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Shanon David Montgomery is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Bellin Memorial Hospital Inc (8820900749)491
Other Medical Identifiers:
Other legacy medical identifiers associated with Shanon David Montgomery such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
AG0216095OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Shanon David Montgomery
Po Box 22487,
Green Bay, Wisconsin
Zip: 54305-2487
Phone Number: 920-445-7222
Fax Number: 920-445-7289
Patients can reach Shanon David Montgomery at 440 Woodward Ave, Iron Mountain, Michigan or can call to book an appointment on 906-776-9040.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.