Individual provider Active NPI

Angelica S. Brown, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1053376368
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002836 Issued in KY
Practice address
1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921
Phone
(502) 272-5044
Fax
(502) 272-5121
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3002836 KY
Nurse Practitioner 363L00000X 3002836 KY Primary

Addresses

Primary practice location

1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 9

IdentifierTypeStateIssuer
000000107337OtherANTHEM - NCMA
008920OtherSIHO - NCMA
000000642488OtherKYANTHEM - HOUSE CALLS
2802676OtherKYCIGNA
2436183000OtherPAD - NCMA
200251100MedicaidIN
50015295OtherPASSPORT - NCMA
50027323OtherKYPASSPORT & PASSPORT ADVANTAGE - HOUSE CALLS
7800413200MedicaidKY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address angelica.brown@nortonhealthcare.org
Direct Messaging Address abrown76577@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000295 KY Practitioner - Nurse Practitioner 2860681632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3002836KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Mar 15, 2020 Accepting new patients
Norton Hospitals Inc Nurse Practitioner CurrentSince Mar 20, 2019 Accepting new patients
Norton Hospitals, Inc Family CurrentSince Mar 20, 2019 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Mar 15, 2020 Accepting new patients

Locations

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

4915 Norton Healthcare Blvd
Ste 103
Louisville, KY 40241
Phone (502) 446-6640

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4955 Norton Healthcare Blvd
Fl 2
Louisville, KY 40241
Phone (502) 394-6350

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

411 E Chestnut St
#2
Louisville, KY 40202
Phone (502) 588-0902

676 S Floyd St
Louisville, KY 40202
Phone (502) 629-2500

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1053376368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN",
            "address_2": "SUITE 1600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181921",
            "telephone_number": "502-272-5044",
            "fax_number": "502-272-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELICA",
        "middle_name": "S.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002836",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NCMA",
            "identifier": "000000107337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NCMA",
            "identifier": "008920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - HOUSE CALLS",
            "identifier": "000000642488",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2802676",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAD - NCMA",
            "identifier": "2436183000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - NCMA",
            "identifier": "50015295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT & PASSPORT ADVANTAGE - HOUSE CALLS",
            "identifier": "50027323",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800413200",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelica.brown@nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln",
            "address_2": "Suite 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abrown76577@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln",
            "address_2": "Suite 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln",
            "address_2": "Suite 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.