Brice Danielle Brown, PAC
Individual provider Active NPI Physician Assistant · Kansas City, KS
NPI 1316066293 · NPPES record last updated Dec 15, 2017
Key facts
- NPI
- 1316066293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01166 (KS)
- Practice address
- 3901 Rainbow Blvd # Ms 3016
Kansas City, KS 66160-2207 - Phone
- (913) 588-6982
- Fax
- (913) 945-8728
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
201 Cedar St SE
Albuquerque, NM 87106-4917
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
Hospital & facility affiliations
- Presbyterian Hospital
- Socorro General Hospital
- Presbyterian Santa Fe Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.5 of 100
- Quality
- 95
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250219003250 | NM | Practitioner - Physician Assistant | 8022040765 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085002055 | IL | MD | Physician Assistant |
| 15-01166 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Juan C. Nosti MD PA | Past | Accepting new patients |
Locations
201 Cedar St SE
Ste 5660
Albuquerque, NM 87106
Phone (505) 563-6565
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2400 Unser Blvd SE
Ste 18200
Rio Rancho, NM 87124
Phone (505) 253-6200
Interoperability endpoints
- bbrown264002@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085002055 | IL | |
| Physician Assistant | 363A00000X | 15-01166 | KS | Yes |
Addresses
Primary practice location
3901 Rainbow Blvd # Ms 3016
Kansas City, KS 66160-2207
Mailing address
3901 Rainbow Blvd # Ms 3016
Kansas City, KS 66160-2207
Phone (913) 588-6982
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00883285 | Other | KS | RAILROAD MEDICARE |
Other providers in Kansas City, KS
- Brian C Brost
- Stephen E Brotherson
- Grace Brouillette
- Alexander E Brown
- Bethany Michelle Brown
- Christopher Bernard Brown
- Colleen Brown
- David Michael Brown
- Elizabeth Regina Brown
- Erin L Brown
All providers in Kansas City, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.