Individual provider Active NPI

Elizabeth Christine Brown, FNP-C

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1073989356
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 4111 Issued in MN
Practice address
5123 W 98TH St Ste 2124
Minneapolis, MN 55437-2040
Phone
(800) 525-9202
Fax
(855) 631-0508
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP 4111 MN Primary

Addresses

Primary practice location

5123 W 98TH St Ste 2124
Minneapolis, MN 55437-2040

Mailing address

8032 Old Carriage CT
Shakopee, MN 55379-3156
Phone (907) 434-1903

Other practice location 1

2801 S Valley View Blvd Ste 6
Las Vegas, NV 89102-0166
Phone (702) 922-7015

Other practice location 2

8020 W Sahara Ave Ste 210
Las Vegas, NV 89117-7917
Phone (702) 360-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150910000227 MN Practitioner - Nurse Practitioner 0840507794

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Victory Medical Past Accepting new patients
Nevada Internal Medicine Ctr-Burt MD LTD PastSince Jun 1, 2003 Accepting new patients
Face to Face Medical Management PastSince Feb 24, 2018 Accepting new patients

Organizations & group practices 3

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1073989356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 OLD CARRIAGE CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793156",
            "telephone_number": "907-434-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W 98TH ST STE 2124",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554372040",
            "telephone_number": "800-525-9202",
            "fax_number": "855-631-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 S Valley View Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891020166",
            "country_code": "US",
            "telephone_number": "702-922-7015",
            "fax_number": "702-922-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8020 W Sahara Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891177917",
            "country_code": "US",
            "telephone_number": "702-360-6003",
            "fax_number": "702-360-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "CHRISTINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.