BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC
NPI 1205434370
Family Medicine in Fredericksburg, PA
About Blue Mountain Regenerative Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC (NPI 1205434370) is a healthcare organization registered as a family medicine in Fredericksburg, Pennsylvania and active in the NPI registry since October 2020. The organization lists James Edwin Mckinney, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Mountain Regenerative Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Blue Mountain Regenerative Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Blue Mountain Regenerative Medicine PLLC's NPI number?
The NPI number for Blue Mountain Regenerative Medicine PLLC is 1205434370. It was assigned to this organization in the NPPES registry on October 12, 2020.
Where is Blue Mountain Regenerative Medicine PLLC located?
Blue Mountain Regenerative Medicine PLLC is located at 124 E Main St., Fredericksburg, PA 17026. The listed phone number is (717) 507-4469.
What is Blue Mountain Regenerative Medicine PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Blue Mountain Regenerative Medicine PLLC enrolled in Medicare?
Yes. Blue Mountain Regenerative Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Mountain Regenerative Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Blue Mountain Regenerative Medicine PLLC, in Chiropractic and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Mountain Regenerative Medicine PLLC was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Blue Mountain Regenerative Medicine Pllc · NPI 1205434370
Family Medicine organization in Fredericksburg, Pennsylvania. Organization record, active in the CMS NPPES registry since October 12, 2020.
## Identity
- **NPI:** 1205434370 (Entity type: Organization)
- **Enumerated:** October 12, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Mckinney, OWNER
## Practice location
- **Address:** 124 E MAIN ST., Fredericksburg, PA 17026-0152
- **Phone:** (717) 507-4469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (2), Nurse Practitioner (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205434370) · Data from the CMS NPPES public registry.