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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: October 18, 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
Phone(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
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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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Brandy Montgomery reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uppal Medical Center LLC
129 mi
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 clinicians in this Medicare group
NPI 1558927905 (662) 577-6673
Heal All Wound Care LLC
146 mi
Adult Health
660 LAKELAND EAST DR STE 210
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 32 clinicians in this Medicare group
NPI 1093554982 (601) 665-4162
Mdb Care Management LLC
146 mi
Primary Care
215 KATHERINE DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 clinicians in this Medicare group
NPI 1144925272 (601) 665-4162
Minor Med Care, LLC
154 mi
Primary Care
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
NPI 1407968738 (601) 372-1117
Mdb Behavioral Health Services LLC
170 mi
Rural Health
1911 MISSION 66 STE B
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 180 clinicians in this Medicare group
NPI 1669835310 (601) 665-4162

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10

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

MRS. CYNTHIA NICOLE TINDALL CFNP
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934
REGAN WATSON MOORE FNP
Nurse Practitioner
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934
TEIRRA WYNN
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934
MRS. PATRICIA ANNE LINDSAY N.P.
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934
ALLIANCE REHABILITATION, INC
Physical Therapist
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 397-8416
LINDSAY CLINIC PA
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934
MARLANA HUFFSTATLER CFNP
Nurse Practitioner (Family)
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934
MELANIE SUZANNE HALL FNP
Nurse Practitioner
109 HIGHWAY 15 S
PONTOTOC, MS 38863
Pontotoc County (662) 509-9934

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.

Which organizations bill Medicare for Brandy Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Montgomery reassigns Medicare benefits to 5 organizations: Uppal Medical Center LLC (Greenville, MS), Heal All Wound Care LLC (Flowood, MS), Mdb Care Management LLC (Flowood, MS), Minor Med Care, LLC (Jackson, MS) and Mdb Behavioral Health Services LLC (Vicksburg, MS). Each 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 Brandy Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.