BROOKE MONTGOMERY AGNP
NPI 1487221511
Nurse Practitioner - Acute Care in Ogden, UT

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-2000 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1487221511
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBROOKE MONTGOMERYCredential: AGNP
Location Address4401 HARRISON BLVDOgden, UT 84403-3195
Mailing Address1321 Kershaw StOgden, UT 84403-0403 · (801) 309-6675
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
NPI 1487221511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in UT · 5902523-4405
4401 HARRISON BLVD, Ogden, UT 84403

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022480896
PECOS Enrollment IDI20230206000942
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner
4401 HARRISON BLVD
OGDEN, UT 84403
Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Institutional Pharmacy)
4401 HARRISON BLVD
OGDEN, UT 84403
Speech-Language Pathologist
4401 HARRISON BLVD
OGDEN, UT 84403
Internal Medicine (Pulmonary Disease)
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner (Psychiatric/Mental Health)
4401 HARRISON BLVD
OGDEN, UT 84403

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.

What insurance does Brooke Montgomery accept?

Health plans from Select Health list Brooke Montgomery 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.

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.