Individual provider Active NPI

Shelley Renee Brown, CRNP

  • Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1366608226
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14036 Issued in TN
Practice address
801 5TH St
Sioux City, IA 51101-1326
Phone
(712) 279-2010
Fax
(712) 279-2034
NPI assigned
Jul 31, 2008
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-069360 AL
Nurse Practitioner 363L00000X 14036 TN Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101-1326

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

2 Newton Rd
Leoma, TN 38468-5527
Phone (931) 629-8016

Other practice location 2

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA, OR, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110808000230 TN Practitioner - Nurse Practitioner 5799954822 Reassigns benefits to 2 organizations
I20190722000291 IA Practitioner - Nurse Practitioner 5799954822 Reassigns benefits to 2 organizations
I20191022001102 OR Practitioner - Nurse Practitioner 5799954822 Reassigns benefits to 1 organization
I20210331002582 AZ Practitioner - Nurse Practitioner 5799954822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Apogee Medical Group Tennessee PCGroup PAC ID 4688721863, 24 clinicians

Practice addresses (Care Compare)

1265 E College St
Pulaski, TN 38478-4541
Phone (931) 363-9374

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
84.51
Improvement activities
40
Cost
64.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-069360ALMDNurse Practitioner
14036TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Nurse Practitioner CurrentSince Feb 24, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2019 Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Apr 21, 2021 Accepting new patients
App of Tennessee HM, PLLC Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Apr 21, 2021 Accepting new patients
Apogee Medical Group Tennessee PC CurrentSince Jun 20, 2011 Accepting new patients
Apogee Medical Group Iowa PC CurrentSince Jun 1, 2022 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Current Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

200 Corporate Blvd
Lafayette, LA 70508

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1366608226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Newton Rd",
            "address_purpose": "LOCATION",
            "city": "Leoma",
            "state": "TN",
            "postal_code": "384685527",
            "country_code": "US",
            "telephone_number": "931-629-8016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014294",
            "country_code": "US",
            "telephone_number": "931-783-2770",
            "fax_number": "931-525-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELLEY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-069360",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.