Malissa Brown, APRN-CNP

Key facts

NPI

1023448115

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

APRN444489 (FL)

Practice address

520 Madison Oak Dr
San Antonio, TX 78258-3913

Phone

(210) 297-4000

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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

• Bryan Emergency Physicians PA Emergency Medicine Physician · Bryan, TX · NPI 1417995481
  Medicare reassignment Care Compare group NPD TX
• Alteon Health Alabama, LLC Emergency Medicine Physician · Talladega, AL · NPI 1477708857
  Medicare reassignment Care Compare group NPD AL
• Carbon Health Medical Group of Florida PA Urgent Care Clinic/Center · Austin, TX · NPI 1477155331
  Medicare reassignment NPD TX
• Travis County Emergency Physicians PA Emergency Medicine Physician · Austin, TX · NPI 1962440933
  Medicare reassignment NPD TX
• Carbon Health Medical Group of Florida PA Urgent Care Clinic/Center · Oro Valley, AZ · NPI 1396317079
  NPD

Hospital & facility affiliations 5

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

• Sid Peterson Memorial Hospital Rural Acute Care Hospital · Kerrville, TX · NPI 1790782704
  Care Compare affiliation Hospital
• St Joseph Regional Health Center General Acute Care Hospital · Bryan, TX · NPI 1942294939
  Care Compare affiliation Hospital
• St. Joseph Regional Health Center General Acute Care Hospital · College Station, TX · NPI 1053963009
  Care Compare affiliation Hospital
• VHS San Antonio Partners LLC General Acute Care Hospital · San Antonio, TX · NPI 1598744856
  Care Compare affiliation Hospital
• Luminis Health Doctors Community Medical Center, Inc. General Acute Care Hospital · Lanham, MD · NPI 1730136532
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Emergency Physicians PA (12 clinicians)
Alteon Health Alabama, LLC (38 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peterson Regional Medical Center Hospital · Kerrville, TX · CCN 450007
• CHI St Joseph Health Regional Hospital Hospital · Bryan, TX · CCN 450011
• Luminis Health Doctors Community Medical Ctr, Inc Hospital · Lanham, MD · CCN 210051
• Baptist Medical Center Hospital · San Antonio, TX · CCN 450058

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX, AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malissabise@ecc.allscriptsdirect.net

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2024.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1023448115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MADISON OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583913",
            "telephone_number": "210-297-4000",
            "fax_number": "850-436-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MADISON OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583913",
            "telephone_number": "210-297-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MALISSA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1026174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN444489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019337300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91CEX",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

• Laurie Ann Brown, PT
• Leah C Brown, M.D.
• Leeshawn L Brown, LCSW
• Leslie Michelle Brown, MD
• Linda Brown, MA, LPC, NCC
• Marissa Brown
• Markham Jay Brown, M.D.
• Marvin R Brown, M.D.
• Mary Brown, D.C.
• Mary Elizabeth Brown, LPC

All providers in San Antonio, TX · Family Nurse Practitioner in Texas