Keely Nicole Brown, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28210307A Issued in IN

Practice address

813 E 4TH St Ste a
Mount Vernon, IN 47620-2012

Phone

(812) 450-1325

Fax

(812) 838-9214

NPI assigned

Apr 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferrell Hospital Community FoundationGroup PAC ID 1355389453, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbrown231467@direct.deaconess.com

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.

• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Medicare reassignment Care Compare group NPD
• Ferrell Hospital Community Foundation

  • Multi-Specialty Clinic/Center
  • Harrisburg, IL
  • NPI 1124905351

  Nurse Practitioner

  NPD
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • MC Leansboro, IL
  • NPI 1689217820
  NPD (past)

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

• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Carmi, IL
  • NPI 1134650997

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Harrisburg, IL
  • NPI 1184202392

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1457586620

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • MC Leansboro, IL
  • NPI 1689217820

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1700011046

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1407475627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E 4TH ST STE A",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476202012",
            "telephone_number": "812-450-1325",
            "fax_number": "812-838-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEELY",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28210307A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah H Appel, O.D.
• Megan Black, MSW, LCSW
• Sydney Lauren Brust
• Janelle Morgan Burton, M.S.
• Sharon Marie Bush
• Lois Jean Butler, PH.D., LMFT
• Lynn W Clark, MS, CCC-SLP

• Nurse Practitioner in Mount Vernon, IN
• Providers in Mount Vernon, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.

Verify at the official NPI Registry.