NPIMap

Individual provider Active NPI

Danielle Brown

  • Family Nurse Practitioner
  • Port Hope, MI
National Provider Identifier
1679942338
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704266641 Issued in MI
Practice address
4255 N Lakeshore Rd
Port Hope, MI 48468-9396
Phone
(989) 428-1000
Fax
(989) 428-1001
NPI assigned
Sep 23, 2015
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704266641 MI Primary

Addresses

Primary practice location

4255 N Lakeshore Rd
Port Hope, MI 48468-9396

Mailing address

210 S 1St St
Harbor Beach, MI 48441-1236
Phone (989) 479-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008001807 MI Practitioner - Nurse Practitioner 6507174604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scheurer HospitalGroup PAC ID 1456242296, shared by 10 NPIs, 49 clinicians

Practice addresses (Care Compare)

108 N Caseville Rd
Pigeon, MI 48755-9704

135 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-3798

170 N Caseville Rd
Pigeion, MI 48755-9704

4255 N Lakeshore Rd
Port Hope, MI 48468-9396
Phone (989) 428-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704266641MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Beach Community Hospital Inc Current Accepting new patients
Harbor Beach Community Hospital Inc Family Past Accepting new patients

Locations

210 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3201

230 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3291

Interoperability endpoints

  • Direct secure messaging: dbrown186000@direct.covenanthealthcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1679942338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 1ST ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411236",
            "telephone_number": "989-479-3201",
            "fax_number": "989-479-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 N LAKESHORE RD",
            "city": "PORT HOPE",
            "state": "MI",
            "postal_code": "484689396",
            "telephone_number": "989-428-1000",
            "fax_number": "989-428-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704266641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hope, MI

Sources for this page

Verify at the official NPI Registry.