DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1508837774

NPI Code Detail

MEDICARE: ROBERTA J MONTGOMERY CNP

MEDICARE: ROBERTA J MONTGOMERY CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R1401381	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0107835	OTHER	MN	MEDICA
2	1022855	OTHER	MN	PREFERRED ONE
3	A020	OTHER	MN	CHAMPUS
4	857963	OTHER	MN	AMERICA'S PPO
5	HP34223	OTHER	MN	HEALTH PARTNERS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	140897D277	OTHER	MN	UCARE
8	51G60MO	OTHER	MN	BLUE SHIELD

General Provider Information

NPI Number	:	1508837774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTA J MONTGOMERY CNP

Provider Business Mailing Address
First Line	:	2101 ELM ST N
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58102-2417
Country	:	US
Telephone Number	:	701-239-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 ELM ST N
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58102-2417
Country	:	US
Telephone Number	:	701-239-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	04/04/2025

Similar Medicare Providers

1902738206 — MIKAYLA LEACH
Practice Location Address:

2101 ELM ST N
FARGO, ND
58102-2417

Practice Phone: 701-232-3241
Practice Fax:

1518960301 — PAUL SHEARER DPM
Practice Location Address:

2101 ELM ST N
FARGO, ND
58102-2417

Practice Phone: 701-232-3241
Practice Fax:

1437143427 — DR. ADAM JOHN GLAZIER M.D.
Practice Location Address:

2101 ELM ST N
FARGO, ND
58102-2417

Practice Phone: 701-239-3700
Practice Fax:

1104815117 — DR. ALEX ALEXANDER AGOSTINI-MIRANDA MD
Practice Location Address:

2101 ELM ST N
FARGO, ND
58102-2417

Practice Phone: 701-232-3241
Practice Fax:

1891776720 — HEATHER J BRYANT NP
Practice Location Address:

2101 ELM ST N
FARGO, ND
58102-2417

Practice Phone: 701-232-3241
Practice Fax: 701-237-2573

1346212479 — DR. BRADLEY MARK KASSON DDS
Practice Location Address:

2101 ELM ST N
FARGO, ND
58102-2417

Practice Phone: 701-239-3700
Practice Fax:

Directions to “ ROBERTA J MONTGOMERY CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.