BRANDY MONTGOMERY
NPI 1740016773
Nurse Practitioner - Family in Pontotoc, MS

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
109 HIGHWAY 15 S, PONTOTOC, MS 38863(662) 509-9934 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandy Montgomery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDY MONTGOMERY (NPI 1740016773) is an individual family provider in Pontotoc, Mississippi, licensed in Mississippi (906930) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740016773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRANDY MONTGOMERY
Location Address109 HIGHWAY 15 SPontotoc, MS 38863-2628
Mailing Address109 Highway 15 SPontotoc, MS 38863-2628 · (662) 509-9934
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
NPI 1740016773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 906930
109 HIGHWAY 15 S, Pontotoc, MS 38863

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

Brandy Montgomery 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 ID1951804145
PECOS Enrollment IDI20250912002201
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38863 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Physical Therapist
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Nurse Practitioner
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Family Medicine
109 HIGHWAY 15 S
PONTOTOC, MS 38863

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 Brandy Montgomery's NPI number?

The NPI number for Brandy Montgomery is 1740016773. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Brandy Montgomery located?

Brandy Montgomery practices at 109 Highway 15 S, Pontotoc, MS 38863. The listed phone number is (662) 509-9934.

What is Brandy Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brandy Montgomery enrolled in Medicare?

Yes. Brandy 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.

When was this NPI record last updated?

The NPPES record for Brandy Montgomery was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.