Individual provider Active NPI

Dallas Brown, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1538822010
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055874 Issued in TX
Practice address
1924 Pine St Ste 401B
Abilene, TX 79601-2452
Phone
(325) 670-4242
Fax
(833) 437-1269
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1055874 TX Primary
Registered Nurse 163W00000X 871903 TX

Addresses

Primary practice location

1924 Pine St Ste 401B
Abilene, TX 79601-2452

Mailing address

1924 Pine St Ste 401B
Abilene, TX 79601-2452
Phone (325) 670-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20211217001643 TX Practitioner - Nurse Practitioner 0244621613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1924 Pine St
Suite 401B
Abilene, TX 79601-2452
Phone (325) 670-4242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
871903TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jul 1, 2023 Accepting new patients
Lone Star Gastroenterology of Abilene, PLLC CurrentSince Jan 15, 2022 Accepting new patients
Hendrick Provider Network CurrentSince Jul 1, 2023 Accepting new patients

Locations

1924 Pine St
Ste 401B
Abilene, TX 79601
Phone (325) 670-4242

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1904 Pine St
Ste 1B
Abilene, TX 79601
Phone (325) 670-6535

1924 Pine St
Ste 401
Abilene, TX 79601
Phone (325) 670-4242

Interoperability endpoints

  • Direct secure messaging: dallas.brown.1@21794.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGFCD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1538822010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PINE ST STE 401B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012452",
            "telephone_number": "325-670-4242",
            "fax_number": "833-437-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINE ST STE 401B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012452",
            "telephone_number": "325-670-4242",
            "fax_number": "833-437-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DALLAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055874",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "871903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.