Shanon David Montgomery, NP
NPI 1710347901ActiveIndividual· Nurse Practitioner· Iron Mountain, MI
Nurse Practitioner (NP) in Iron Mountain, Michigan, licensed in MI, with an NPI issued in March 2016. Part D covered 181 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1710347901 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Mar 1, 2016 |
| Last updated in NPPES | Feb 14, 2020 |
| Certified by provider | Feb 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704217286 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 181 · 481 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $1,602 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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