Kyndal Brown

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.021542 Issued in IL

Practice address

800 School St
Carrollton, IL 62016-1436

Phone

(217) 942-6946

NPI assigned

Jul 1, 2020

Last updated

Jul 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas H Boyd Memorial HospitalGroup PAC ID 8123085560, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greene County Health Dept Home health agency, Carrollton, IL, CCN 147091
• Thomas H Boyd Memorial Hospital Hospital, Carrollton, IL, CCN 141300
• Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyndal.brown.p1@direct.boydrhcs.nextgenshare.com

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.

• Thomas H. Boyd Memorial Hospital

  • Critical Access Hospital
  • Carrollton, IL
  • NPI 1811096811
  Medicare reassignment Care Compare group NPD
• Thomas H. Boyd Memorial Hospital

  dba Thomas H. Boyd Rural Health Clinic

  • Rural Health Clinic/Center
  • Carrollton, IL
  • NPI 1164507604
  NPD
• Thomas H. Boyd Memorial Hospital

  dba Greene County Rural Health Clinic

  • Rural Health Clinic/Center
  • Carrollton, IL
  • NPI 1366535304
  NPD (past)

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

• County of Greene

  dba Greene County Health Department

  • Home Health Agency
  • Carrollton, IL
  • NPI 1225038169
  Care Compare affiliation
• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  Care Compare affiliation
• Thomas H. Boyd Memorial Hospital

  • Critical Access Hospital
  • Carrollton, IL
  • NPI 1811096811
  Care Compare affiliation

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1093332553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N US HIGHWAY 67",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620162103",
            "telephone_number": "618-535-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCHOOL ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161436",
            "telephone_number": "217-942-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KYNDAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.021542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Hart Chiropractic Inc
• Applied Medical and Performance Solutions Inc
• Abby Leigh Baalman, D.P.T.
• Alexander Beavers, DMD
• R Scott Beavers, DDS
• Carrollton Cu School Dist 1
• Carrollton Family Dental
• Ellen Caroline Christensen, AUD
• County of Greene (Greene County Health Department)
• County of Greene (Greene County Health Department)

• Family Nurse Practitioner in Carrollton, IL
• Providers in Carrollton, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.