Stacy Renae Brown, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704316599 Issued in MI

Practice address

3085 Hallmark CT Ste 1
Saginaw, MI 48603-6803

Phone

(989) 996-0566

NPI assigned

Jan 16, 2023

Last updated

Apr 14, 2023By 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 MI

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hospital Psychiarty PLLCGroup PAC ID 0547424186, 7 clinicians

Saginaw County Community Mental Health AuthorityGroup PAC ID 7719037332, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbrown144083@direct.covenanthealthcare.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.

• Hospital Psychiarty PLLC

  • Neurology Physician
  • Saginaw, MI
  • NPI 1144590290
  Medicare reassignment Care Compare group NPD
• Saginaw County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Saginaw, MI
  • NPI 1689778953
  Medicare reassignment Care Compare group NPD
• Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
  • NPI 1487683546
  Medicare reassignment NPD
• Saginaw Psychological Services, Inc.

  • Psychologist
  • Saginaw, MI
  • NPI 1821163882
  Medicare reassignment NPD

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

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1255046249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 W NEW PINE TRL",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579733",
            "telephone_number": "989-492-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HALLMARK CT STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486036803",
            "telephone_number": "989-996-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STACY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704316599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshawnda Jenience Brown
• Sarina Marie Brown
• Selena B Brown
• Shanice Brown
• Sherrhonda Lynn Brown
• Taylor Elizabeth Brown
• Timothy Kenneth Brown, MD
• Dawn Latesa Browne
• Roger James Browne, M.S.W.
• Micaella Brownfield

• Psychiatric/Mental Health Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.