Mary Montgomery, PA-C
NPI 1225950488ActiveIndividual· Physician Assistant· Bloomington, IN
Physician Assistant (PA-C) in Bloomington, Indiana, licensed in IN, with an NPI issued in July 2026.
Overview
| NPI | 1225950488 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 29, 2026 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10005406A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Bloomington
- 1124189865
- 1144805128
- 1174106520
- 1205276177
- 1205834546
- 1245827856
- 1275015901
- 1275159535
- 1275888349
- 1316173727
- 1316431968
- 1346222833
All 75 physician assistants in Bloomington · All physician assistants in Indiana