FOUR PEAKS MEDICAL LLC
NPI 1093550782
Nurse Practitioner - Family in Laurel, DE
About Four Peaks Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR PEAKS MEDICAL LLC (NPI 1093550782) is a healthcare organization registered as a family in Laurel, Delaware and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Brooke Montgomery, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 08D2321811
Four Peaks Medical LLC · Laurel, DEOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Four Peaks Medical LLC's NPI number?
The NPI number for Four Peaks Medical LLC is 1093550782. It was assigned to this organization in the NPPES registry on June 26, 2024.
Where is Four Peaks Medical LLC located?
Four Peaks Medical LLC is located at 116 E Front St Ste A, Laurel, DE 19956. The listed phone number is (765) 265-1214.
What is Four Peaks Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Four Peaks Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 08D2321811) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Four Peaks Medical LLC accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Four Peaks Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Four Peaks Medical LLC was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Four Peaks Medical Llc · NPI 1093550782
Family organization in Laurel, Delaware. Organization record, active in the CMS NPPES registry since June 26, 2024.
## Identity
- **NPI:** 1093550782 (Entity type: Organization)
- **Enumerated:** June 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Brooke Montgomery, FNP
## Practice location
- **Address:** 116 E FRONT ST STE A, Laurel, DE 19956-1725
- **Phone:** (765) 265-1214
## Record status
- **NPPES last updated:** June 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093550782) · Data from the CMS NPPES public registry.