Blue Mountain Regenerative Medicine PLLC
NPI 1205434370 · Family Medicine Physician · Fredericksburg, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Mountain Regenerative Medicine PLLC is a Family Medicine Physician organization in Fredericksburg, PA (NPI 1205434370).
Provider details
- NPI number
- 1205434370
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Mckinney, Owner(717) 865-6183
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-12
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Frequently asked questions
- What is Blue Mountain Regenerative Medicine PLLC's NPI number?
- Blue Mountain Regenerative Medicine PLLC's National Provider Identifier (NPI) is 1205434370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Mountain Regenerative Medicine PLLC?
- Blue Mountain Regenerative Medicine PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Mountain Regenerative Medicine PLLC located?
- Blue Mountain Regenerative Medicine PLLC's practice location on file with NPPES is 124 E Main St., Fredericksburg, PA 17026-0152.
- What is Blue Mountain Regenerative Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Mountain Regenerative Medicine PLLC is (717) 507-4469.
- Does Blue Mountain Regenerative Medicine PLLC accept Medicare?
- Blue Mountain Regenerative Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Mountain Regenerative Medicine PLLC?
- The authorized official listed on Blue Mountain Regenerative Medicine PLLC's NPPES record is James Mckinney, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Mountain Regenerative Medicine PLLC's NPI active?
- Yes — Blue Mountain Regenerative Medicine PLLC's NPI (1205434370) is active in the NPPES registry as of the last update on 2020-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.