Mark Richard Brown, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Vacaville, CA

NPI 1346053048 · NPPES record last updated May 12, 2026

Key facts

NPI
1346053048
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
95033749 (CA)
Practice address
421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone
(707) 624-7500
NPI assigned
Jan 28, 2025
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Health Medical Foundation (207 clinicians)

Practice addresses (Care Compare)

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 646-5500

Hospital & facility affiliations

  • Providence Queen of the Valley Medical Center Hospital · Napa, CA · CCN 050009
  • Northbay Medical Center Hospital · Fairfield, CA · CCN 050367
  • Adventist Health St Helena Hospital · Saint Helena, CA · CCN 050013

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260410003325 CA Practitioner - Nurse Practitioner 6901157502 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • Direct secure messaging: mark.brown.1@30147.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033749 CA Yes

Addresses

Primary practice location

421 Nut Tree Rd
Vacaville, CA 95687-3508

Mailing address

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2026.

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1346053048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-624-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-624-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

All providers in Vacaville, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.