Terri Lee Brown, NP
Individual provider Active NPI Family Nurse Practitioner · Sullivan, IN
NPI 1053576405 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1053576405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71002697A (IN)
- Practice address
- 2229 Mary Sherman Dr
Sullivan, IN 47882-7633 - Phone
- (812) 268-3318
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Associated Physicians Clinic, LLC
Practice addresses (Care Compare)
3702 S 4TH St
Terre Haute, IN 47802-5507
Phone (812) 234-0098
Hospital & facility affiliations
- Union Hospital Inc
- Terre Haute Regional Hospital
- Sullivan County Community Hospital
- Greene County General Hospital
- Ascension St Vincent Clay
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000106 | IN | Practitioner - Nurse Practitioner | 8820157415 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002697A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Associated Physicians Clinic LLC | Current |
Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Current |
Accepting new patients |
Locations
557 W Broadway St
Shelburn, IN 47879
Phone (812) 232-8716
2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
3903 S 7th St
Ste 2F
Terre Haute, IN 47802
Phone (812) 232-9596
1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646
3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021
1530 N 7th St
Ste 200
Terre Haute, IN 47807
Phone (812) 238-7631
3702 S 4th St
Terre Haute, IN 47802
Phone (812) 234-0098
Interoperability endpoints
- terri.brown@hca6.eclinicaldirectplus.com
- terri.brown.2@8793.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002697A | IN | Yes |
Addresses
Primary practice location
2229 Mary Sherman Dr
Sullivan, IN 47882-7633
Mailing address
PO Box 230
Sullivan, IN 47882-0230
Phone (812) 268-3318
Other practice location 1
221 S 6th St
Terre Haute, IN 47807-4214
Phone (812) 238-4470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00834946 | Other | IN | RAILROAD MEDICARE |
Other names
- Mrs. Terri Lee Michl
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | terri.brown.2@8793.direct.athenahealth.com | Direct |
Other providers in Sullivan, IN
- Renee Noel Bauer
- Morgan Beard
- Jace Corie Biggs
- Rachel Biggs
- Deeann Boatright
- Daniel Choyce Callahan
- Linda Sue Canup
- Charles D Price
- Mary Ann Chavez
- Janis Cheek
All providers in Sullivan, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.