BROOKE MONTGOMERY AGNP
NPI 1487221511
Nurse Practitioner - Acute Care in Ogden, UT
About Brooke Montgomery Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE MONTGOMERY AGNP (NPI 1487221511) is an individual acute care provider in Ogden, Utah, licensed in Utah (5902523-4405) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brooke Montgomery Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brooke Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ogden, UT 84403
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1033240965 (Utah)
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
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 Brooke Montgomery's NPI number?
The NPI number for Brooke Montgomery is 1487221511. It was assigned to this individual provider in the NPPES registry on June 8, 2021.
Where is Brooke Montgomery located?
Brooke Montgomery practices at 4401 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 387-2000.
What is Brooke Montgomery's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Brooke Montgomery enrolled in Medicare?
Yes. Brooke Montgomery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brooke Montgomery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Montgomery reassigns Medicare benefits to Ihc Health Services Inc (Ogden, UT). The 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 Brooke Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Brooke Montgomery affiliated with any hospitals?
According to CMS data, Brooke Montgomery is affiliated with Mckay-Dee Hospital.
When was this NPI record last updated?
The NPPES record for Brooke Montgomery was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Brooke Montgomery, AGNP · NPI 1487221511
Acute Care physician in Ogden, Utah. Individual provider, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1487221511 (Entity type: Individual)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 5902523-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 HARRISON BLVD, Ogden, UT 84403-3195
- **Phone:** (801) 387-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1366764813, Ogden, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487221511) · Data from the CMS NPPES public registry.