Individual provider Active NPI

Jason Brown, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1073165270
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP140160 Issued in TX
Practice address
1411 N. Beckley Ave.
Pavilion III Suite 152
Dallas, TX 75203-3221
Phone
(214) 948-2076
Fax
(214) 948-9990
NPI assigned
Jul 9, 2019
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X AP140160 TX Primary

Addresses

Primary practice location

1411 N. Beckley Ave.
Pavilion III Suite 152
Dallas, TX 75203-3221

Mailing address

1411 N. Beckley Ave.
Pavilion III Suite 152
Dallas, TX 75203-3221
Phone (214) 948-2076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190930000638 TX Practitioner - Nurse Practitioner 6103156443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

252 Matlock Rd
Suite 234
Mansfield, TX 76063-6565
Phone (214) 948-2076

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Multi-Specialty CurrentSince May 1, 2020 Accepting new patients
Medhealth Multi-Specialty CurrentSince Mar 13, 2023 Accepting new patients
Medhealth Multi-Specialty CurrentSince Mar 13, 2023 Accepting new patients
Kurt W. Voss, D.O., P.a. Multi-Specialty CurrentSince Aug 10, 2019 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Multi-Specialty Past Accepting new patients

Locations

1411 N Beckley Ave
Ste 152
Dallas, TX 75203
Phone 2149487700208

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

252 Matlock Rd
Ste 234
Mansfield, TX 76063
Phone (214) 948-7000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

301 N Miller Rd
Mansfield, TX 76063
Phone (817) 276-4800

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1073165270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N. BECKLEY AVE.",
            "address_2": "PAVILION III SUITE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033221",
            "telephone_number": "214-948-2076",
            "fax_number": "214-948-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N. BECKLEY AVE.",
            "address_2": "PAVILION III SUITE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033221",
            "telephone_number": "214-948-2076",
            "fax_number": "214-948-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JASON",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP140160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.