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
Hospital & facility affiliations 4
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
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
- Northbay Medical Center
- Adventist Health St Helena
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260410003325 | CA | Practitioner - Nurse Practitioner | 6901157502 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- mark.brown.1@30147.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Hannah Brown
- Kimberlee Brown
- Krista Danielle Brown
- Latoya S. Brown
- Marc Brown
- Samuel J. Brown
- Thomas W. Brown
- Bruce R. Carlton, M.D., Inc.
- Caroline Suzanne Bryan
- Lee Allen Buccinio
All providers in Vacaville, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. 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.