Individual provider Active NPI

Shelli Dee Brown, ARNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlantic, IA
National Provider Identifier
1255058640
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G171646 Issued in IA
Practice address
2307 Olive St
Atlantic, IA 50022-9768
Phone
(712) 243-2606
Fax
(712) 243-2688
NPI assigned
Oct 26, 2022
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G171646 IA Primary

Addresses

Primary practice location

2307 Olive St
Atlantic, IA 50022-9768

Mailing address

1604 Aspen Dr
Atlantic, IA 50022-2473
Phone (712) 249-6364

Other identifiers 1

IdentifierTypeStateIssuer
00893MedicaidIA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL sbrown@zioniowa.org
Direct Messaging Address sbrown@zioniowa.org Direct Southwest Iowa Mental Health Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20221129000302 IA Practitioner - Nurse Practitioner 8921476771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zion Integrated Behavioral Health Services IncGroup PAC ID 9931573748, 7 clinicians

Practice addresses (Care Compare)

2307 Olive St
Atlantic, IA 50022-9768
Phone (712) 243-2606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Integrated Behavioral Health Services Inc. CurrentSince Mar 20, 2023 Accepting new patients

Locations

2307 Olive St
Atlantic, IA 50022
Phone (712) 243-2606

Organizations & group practices 1

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 & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1255058640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 ASPEN DR",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222473",
            "telephone_number": "712-249-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 OLIVE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500229768",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELLI",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G171646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00893",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sbrown@zioniowa.org",
            "affiliation": "N",
            "address_1": "2307 Olive St",
            "city": "Atlantic",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500229768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrown@zioniowa.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Southwest Iowa Mental Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2307 Olive St",
            "city": "Atlantic",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500229768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.