Individual provider Active NPI

Shawn Brown, APRN

  • Adult Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1265022206
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11040959 Issued in FL
Practice address
900 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-1766
Phone
(772) 932-5847
NPI assigned
Jan 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11040959 FL Primary
Registered Nurse 163W00000X 9453562 FL
Gerontology Nurse Practitioner 363LG0600X 11040959 FL
Pain Medicine Physician 208VP0000X 11040959 FL

Addresses

Primary practice location

900 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-1766

Mailing address

3461 SW Englewood St
Port St Lucie, FL 34953-4940
Phone (772) 708-8279

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbrown1@convivaphysicians.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250915001255 FL Practitioner - Nurse Practitioner 4789187758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Solutions and More LLCGroup PAC ID 0244621910, 36 clinicians

Practice addresses (Care Compare)

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 480-5860

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • The Roads Home Health Palm Beach Home health agency, West Palm Beach, FL, CCN 109344
  • Aveanna Home Health Home health agency, Stuart, FL, CCN 683116
  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9453562FLMDRegistered Nurse
11040959FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Physician Services LLC CurrentSince Aug 8, 2025 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

3601 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 208-3057

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Interoperability endpoints

  • Direct secure messaging: shawn.brown.1@25403.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1265022206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 SW ENGLEWOOD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534940",
            "telephone_number": "772-708-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-932-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11040959",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9453562",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11040959",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "11040959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrown1@convivaphysicians.com",
            "affiliation": "N",
            "address_1": "900 SW Saint Lucie West Blvd",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349861766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.