Gwendolyn J Brown, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002816A Issued in IN

Practice address

207 S Lebanon St
Lebanon, IN 46052-2544

Phone

(765) 482-3630

NPI assigned

Dec 10, 2008

Last updated

Nov 27, 2023By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbrown6632@ecommunitydirect.com
• Direct secure messaging: gwendolyn.brown.1@7598.direct.athenahealth.com

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.

• Informe HC Specialists, LLC

  • Internal Medicine Physician
  • Dyer, IN
  • NPI 1255917647
  Medicare reassignment NPD
• Informe Healthcare in, LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1992276638

  IN

  Medicare reassignment
• Respiratory & Critical Care Consultants P C

  • Pulmonary Disease Physician
  • Indianapolis, IN
  • NPI 1801845086
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1497990139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522544",
            "telephone_number": "765-482-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522544",
            "telephone_number": "765-482-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Capitol Ave",
            "address_2": "Rm E140",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021218",
            "country_code": "US",
            "telephone_number": "317-962-2894",
            "fax_number": "317-963-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270963",
            "country_code": "US",
            "telephone_number": "317-887-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GWENDOLYN",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002816A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000621586",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbrown6632@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "1402 E County Line Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462270963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Brewster, MD
• Angielia Lee Brooks, LCSW
• Erin Brooks
• Stephanie Renee Brooks, MS, LPC, NCC
• Emjae Brown, RBT
• Patricia Brown, WRAPAROUND
• Whitney T Brown, LCSW
• Valerie Susan Bruemmer, MD
• Robin M Bruner, LMHC
• Heather Bruno, RBT

• Family Nurse Practitioner in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.