Individual provider Active NPI

Nakesha Nacole Brown, RN

  • Nurse Practitioner
  • Milford, MI
National Provider Identifier
1689070633
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704255958 Issued in MI
Practice address
3310 W Commerce Rd
Milford, MI 48380-3100
Phone
(313) 720-7895
Fax
(248) 256-3801
NPI assigned
Nov 18, 2014
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704255958 MI Primary
Registered Nurse 163W00000X 4704255958 MI

Addresses

Primary practice location

3310 W Commerce Rd
Milford, MI 48380-3100

Mailing address

15819 Schoolcraft Street
Detroit, MI 48227-1749
Phone (248) 508-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160113002922 MI Practitioner - Nurse Practitioner 4183926751 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients

Locations

8045 E Jefferson Ave
Detroit, MI 48214
Phone (313) 821-3525

2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

12250 E 12 Mile Rd
Warren, MI 48093
Phone (313) 432-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1689070633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15819 SCHOOLCRAFT STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271749",
            "telephone_number": "248-508-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W COMMERCE RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483803100",
            "telephone_number": "313-720-7895",
            "fax_number": "248-256-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NAKESHA",
        "middle_name": "NACOLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704255958",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704255958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.