Individual provider Active NPI

Dawn Brown, APRN,FNP-C

  • Family Nurse Practitioner
  • Ponca City, OK
National Provider Identifier
1205206109
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78425 Issued in OK
Practice address
2101 N 14TH St Ste 114
Ponca City, OK 74601-1807
Phone
(580) 762-2366
Fax
(580) 765-0899
NPI assigned
Oct 5, 2015
Last updated
Nov 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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 78425 OK Primary

Addresses

Primary practice location

2101 N 14TH St Ste 114
Ponca City, OK 74601-1807

Mailing address

320 N Perkins Rd
Stillwater, OK 74075-5513
Phone (405) 707-8100

Other practice location 1

320 N Perkins Rd
Stillwater, OK 74075-5513
Phone (405) 707-8100

Other identifiers 2

IdentifierTypeStateIssuer
78425OtherOKAPRN,FNP-C
51662OtherOKOBNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160412001109 OK Practitioner - Nurse Practitioner 7416255229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AMC Urgent Care Plus LLCGroup PAC ID 3971509381, 16 clinicians

Practice addresses (Care Compare)

1909 W 6TH Ave
Suite B
Stillwater, OK 74074-4204
Phone (405) 385-0029

2101 N 14TH St
Ponca City, OK 74601-1807
Phone (580) 762-2366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78425OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Urgent Care Plus, LLC CurrentSince Feb 13, 2016 Accepting new patients
Triad Complete Healthcare A06 LLC Past Accepting new patients

Locations

2101 N 14th St
Ste 114
Ponca City, OK 74601
Phone (580) 762-1552

1909 W 6th Ave
#B
Stillwater, OK 74074
Phone (405) 385-0029

Interoperability endpoints

  • Direct secure messaging: dawn.brown.1@31440.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1205206109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755513",
            "telephone_number": "405-707-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N 14TH ST STE 114",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011807",
            "telephone_number": "580-762-2366",
            "fax_number": "580-765-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Perkins Rd",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740755513",
            "country_code": "US",
            "telephone_number": "405-707-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAWN",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "78425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN,FNP-C",
            "identifier": "78425",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "51662",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.