Active NPI
Jo Ann Brown, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1104804723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP-05359
- Practice address
- 6809 Main St
Cincinnati, OH 45244-3470 - Phone
- (440) 230-6168
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 270104 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP-05359 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.05359 | OH |
Addresses
Primary practice location
6809 Main St
Cincinnati, OH 45244-3470
Mailing address
6809 Main St
Cincinnati, OH 45244-3470
Phone (440) 230-6168
Other practice location 1
4539 N 22nd St Ste R
Phoenix, AZ 85016-4639
Phone (440) 230-6168 ext. 06168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2253627 | Medicaid | OH |
Other names 1
- Jo Ann Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031208000216 | OH | Practitioner - Nurse Practitioner | 5294631784 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.05359 | OH | MD | Family Nurse Practitioner |
| 270104 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| NP-05359 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Psychiatry & Wellness, LLC | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Past | Accepting new patients |
Locations
3189 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 293-0405
1910 Fairgrove Ave
Ste E
Hamilton, OH 45011
Phone (513) 299-4025
Interoperability endpoints
- https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Hamilton, OH
- NPI 1699251553
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1104804723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6809 MAIN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443470",
"telephone_number": "440-230-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6809 MAIN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452443470",
"telephone_number": "440-230-6168"
}
],
"practiceLocations": [
{
"address_1": "4539 N 22nd St Ste R",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850164639",
"country_code": "US",
"telephone_number": "440-230-6168 x06168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JO ANN",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "270104",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "NP-05359",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.05359",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2253627",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JO",
"last_name": "BROWN",
"middle_name": "ANN",
"credential": "APRN. CNP 05359",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.