Ericka Danielle Brown

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

28198126 Issued in IN

Practice address

155 E Burks Dr
Bloomington, IN 47401-8459

Phone

(812) 332-4437

NPI assigned

Oct 31, 2022

Last updated

Nov 19, 2024By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Onhealthcare LLCGroup PAC ID 8527221480, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Onhealthcare, LLC

  dba OnHealthcare Optometry

  • Optometrist
  • Indianapolis, IN
  • NPI 1417220369
  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  IN

  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933

  IN

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  IN

  Medicare reassignment NPD
• Onhealthcare LLC

  • Social Worker
  • Indianapolis, IN
  • NPI 1114681681
  NPD
• Onhealthcare, LLC

  dba OnHealthcare Audiology

  • Audiologist
  • Indianapolis, IN
  • NPI 1730445438
  NPD
• Onhealthcare LLC

  dba OnHealthcare Podiatry

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1295442390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12785 CHICKEN FARM RD",
            "city": "SHOALS",
            "state": "IN",
            "postal_code": "475817179",
            "telephone_number": "812-709-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BURKS DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018459",
            "telephone_number": "812-332-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERICKA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28198126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "erickashaw82@gmail.com",
            "affiliation": "N",
            "endpointDescription": "OBGYN",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 23rd St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474214704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebrown@theoriamedical.org",
            "affiliation": "N",
            "address_1": "155 E Burks Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474018459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexus Christian Brown
• Allison M Brown, NP
• Andrea Alyse Brown, NP
• Christina Lynn Brown, LPN
• Ella Mae Brown
• Ethan James Brown
• Jencie M Brown, BCBA
• Lacey Peltier Brown, DO
• Linda F Brown, PHD, HSPP
• Makenna Brown

• Women's Health Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.