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 lists Brooke Montgomery, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Peaks Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Four Peaks Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Four Peaks Medical LLC enrolled in Medicare?
Yes. Four Peaks Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Four Peaks Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Four Peaks Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093550782) · Data from the CMS NPPES public registry.