Individual provider Active NPI

Brooke Montgomery, FNP

  • Family Nurse Practitioner
  • Laurel, DE
National Provider Identifier
1184085268
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011527 Issued in DE
Practice address
116 E Front St Ste a
Laurel, DE 19956-1725
Phone
(765) 265-1214
NPI assigned
Mar 16, 2016
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28160822A IN
Family Nurse Practitioner 363LF0000X LG-0011527 DE Primary
Registered Nurse 163W00000X 28160822A IN

Addresses

Primary practice location

116 E Front St Ste a
Laurel, DE 19956-1725

Mailing address

116 E Front St Ste a
Laurel, DE 19956-1725
Phone (302) 280-6358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190227001947 IN Practitioner - Nurse Practitioner 9537408018 Reassigns benefits to 1 organization
I20201210001780 DE Practitioner - Nurse Practitioner 9537408018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

116 E Front St
Suite a
Laurel, DE 19956-1725
Phone (765) 265-1214

800 N Dupont Blvd
Walkin Medical Care
Milford, DE 19963-1019
Phone (302) 430-5705

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Four Peaks Medical LLC Family CurrentSince Sep 14, 2024 Accepting new patients
Christiana Care Quality Partners CurrentSince Dec 8, 2020 Accepting new patients
FC Indiana, LLC CurrentSince Jan 22, 2019 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Nov 3, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Nov 3, 2022 Accepting new patients
Signify Health, LLC CurrentSince Jun 26, 2023 Accepting new patients
FC Indiana, LLC CurrentSince Jan 22, 2019 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

665 S Bay Rd
Unit C
Dover, DE 19901
Phone (302) 672-2319

116 E Front St
Ste A
Laurel, DE 19956
Phone (410) 546-2500

800 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-3000

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

3600 E Main St
Richmond, IN 47374
Phone (765) 598-5700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1184085268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E FRONT ST STE A",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561725",
            "telephone_number": "302-280-6358",
            "fax_number": "302-280-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E FRONT ST STE A",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561725",
            "telephone_number": "765-265-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28160822A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011527",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28160822A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, DE

Sources for this page

Verify at the official NPI Registry.