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

Lisa Montgomery, PA

Individual provider Physician Assistant · NPI 1639253347

Lisa Montgomery, PA is a Physician Assistant in Russiaville, Indiana. Qualified in 1998, 28 years ago. Practices with American Health Network of Indiana LLC, a 204-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
28
Licensed in
IN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3309 S 750 W
Russiaville, IN 46979-9146
Phone: (765) 883-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000327 (IN)

Record details

NPI number1639253347
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice American Health Network Of Indiana Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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