Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn A Montgomery, NP

Individual provider Gerontology Nurse Practitioner · NPI 1720053416

Carolyn A Montgomery, NP is a Nurse Practitioner in Buffalo, New York. Qualified in 1979, 47 years ago. Practices with Physician Mobile Medical Care PC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
47
Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone: (716) 893-1010
Fax: (716) 893-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence F340627 (NY)

Record details

NPI number1720053416
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Physician Mobile Medical Care Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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