Active NPI
Amy M Brown, NP
- Family Nurse Practitioner
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011511A
- Practice address
- 5314 Lincolnway E
Mishawaka, IN 46544-4249 - Phone
- (574) 584-2812
- Fax
- (574) 584-2813
- NPI assigned
- Sep 8, 2021
- Last updated
- Feb 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011511A | IN | Primary |
Addresses
Primary practice location
5314 Lincolnway E
Mishawaka, IN 46544-4249
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-6592
Other practice location 1
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Other practice location 2
202 Lincolnway E Ste 201
Mishawaka, IN 46544-2079
Phone (574) 584-2812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300055289 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443
5314 Lincolnway E
BMG Mishawaka
Mishawaka, IN 46544-4249
Phone (574) 584-2812
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011511A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Cep America LLC | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Elite Emergency Physicians Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
202 Lincolnway E
Ste 201
Mishawaka, IN 46544
Phone (574) 584-2812
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
5314 Lincolnway E
Mishawaka, IN 46544
Phone (574) 256-9032
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- aalbertsbrown1429359@direct.trinity-health.org
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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Emergency Medicine Physician
- Elkhart, IN
- NPI 1932155371
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group Mishawaka
- Family Medicine Physician
- Mishawaka, IN
- NPI 1275550899
Nurse Practitioner
-
- Emergency Medicine Physician
- Mishawaka, IN
- NPI 1811796006
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1013686625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-6592",
"fax_number": "574-647-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5314 LINCOLNWAY E",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465444249",
"telephone_number": "574-584-2812",
"fax_number": "574-584-2813"
}
],
"practiceLocations": [
{
"address_1": "5215 Holy Cross Pkwy",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451469",
"country_code": "US",
"telephone_number": "574-335-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 Lincolnway E Ste 201",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465442079",
"country_code": "US",
"telephone_number": "574-584-2812",
"fax_number": "574-584-2813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "AMY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011511A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300055289",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.