Active NPI
Amelia Delois Brown, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP9254465
- Practice address
- 1660 Prudential Dr Ste 410
Jacksonville, FL 32207-8197 - Phone
- (904) 376-3800
- NPI assigned
- Sep 10, 2012
- Last updated
- May 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9254465 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9254465 | FL | Primary |
Addresses
Primary practice location
1660 Prudential Dr Ste 410
Jacksonville, FL 32207-8197
Mailing address
PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800
Other practice location 1
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010764800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1660 Prudential Dr
Suite 410
Jacksonville, FL 32207-8197
Phone (904) 376-3800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.95 of 100
- Quality
- 84.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Behavioral Health, LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Metropolitan Behavioral Services LLC | Current | Accepting new patients | |
| Southern Baptist Hospital of Florida Inc | Past | Accepting new patients |
Locations
1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700
1660 Prudential Dr
Ste 410
Jacksonville, FL 32207
3122 New Berlin Rd
Jacksonville, FL 32226
Phone (904) 633-0340
4500 Salisbury Rd
Ste 490
Jacksonville, FL 32216
Phone (904) 562-1391
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
820 Prudential Dr
Ste 510
Jacksonville, FL 32207
3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221
87010 Professional Way
Yulee, FL 32097
Interoperability endpoints
- abrown21041@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 5
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.
-
- Professional Counselor
- Jacksonville, FL
- NPI 1215906649
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1801261631
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1235398983
-
dba Baptist Home Health Care
- Home Health Agency
- Jacksonville, FL
- NPI 1841351632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1316297054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748519",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 PRUDENTIAL DR STE 410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078197",
"telephone_number": "904-376-3800"
}
],
"practiceLocations": [
{
"address_1": "3625 University Blvd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164207",
"country_code": "US",
"telephone_number": "904-702-6353",
"fax_number": "904-702-6356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "AMELIA",
"middle_name": "DELOIS",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2022-05-13",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9254465",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9254465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010764800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.