Jon Miles Brown, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Chickasha, OK
NPI 1528048857 · NPPES record last updated Feb 2, 2009
Key facts
- NPI
- 1528048857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R0066268 (OK)
- Practice address
- 2220 W Iowa Ave
Chickasha, OK 73018-2738 - Phone
- (405) 224-2300
- Fax
- (405) 779-2143
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grady Memorial Hospital
Practice addresses (Care Compare)
2220 W Iowa Ave
Anesthesia Services
Chickasha, OK 73018-2738
Phone (405) 224-2300
Hospital & facility affiliations
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060209000169 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8820002553 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0066268 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital | Current |
Accepting new patients | |
| Grady Memorial Hospital | Current | Accepting new patients | |
| Grady Memorial Hospital | Current |
Accepting new patients |
Locations
2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100
2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0066268 | OK | Yes |
Addresses
Primary practice location
2220 W Iowa Ave
Chickasha, OK 73018-2738
Mailing address
2220 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 224-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200074160A | Medicaid | OK |
Other providers in Chickasha, OK
- Pam Brandt
- Andrew B Bratton
- Brookdale Senior Living Communities, Inc.
- Cheryl Ann Broome
- Channing Brown
- Alissa Brummett
- Bridget Diane Bryan
- Robert T Buchanan
- Amber D Bull
- Steve Edgar Burdex
All providers in Chickasha, OK · Certified Registered Nurse Anesthetist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2009. 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.
- 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.