Monkey Mountain Conservation Area Access provides primitive camping at three designated locations and multiple parking areas for access to the Nodaway River and Missouri River frontage in northwest Missouri. The area offers 5.

3 miles of easy-going gravel roads (Road 325) suitable for most vehicles in normal conditions, though 4WD is recommended during wet weather or snow due to steep bluffs.

Boat access is available on the Nodaway River, with regulations requiring boats not be left unattended overnight and electric motors only on waters under 70 acres.