Active NPI
Miariesha Brown
- Family Nurse Practitioner
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F02240211
- Practice address
- Illinois Back Institute 11528 W 183Rd St
Suite SE
Orland Park, IL 60467 - Phone
- (708) 310-6733
- NPI assigned
- Feb 26, 2024
- Last updated
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F02240211 | IL | Primary |
Addresses
Primary practice location
Illinois Back Institute 11528 W 183Rd St
Suite SE
Orland Park, IL 60467
Mailing address
PO Box 502
Blue Island, IL 60406-0502
Phone (773) 984-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
253 Bradington Dr
Columbia, IL 62236-2519
Phone (877) 883-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02240211 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sally Health & Innovative Partners | Current | Accepting new patients | |
| Cardiorenal Therapeutics of Illinois PLLC | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
253 Bradington Dr
Columbia, IL 62236
Phone (618) 218-6800
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
1101 E State St
Geneva, IL 60134
Phone (630) 232-7544
5410 W Main St
#2
Monee, IL 60449
Phone (312) 802-9646
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367
Organizations & group practices 4
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.
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IL
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- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Nephrology Physician
- Oakbrook Terrace, IL
- NPI 1336752682
-
dba Sally Health
- Family Medicine Physician
- Monee, IL
- NPI 1174346415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1700642923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604060502",
"telephone_number": "773-984-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ILLINOIS BACK INSTITUTE 11528 W 183RD ST",
"address_2": "SUITE SE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60467",
"telephone_number": "708-310-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MIARIESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "F02240211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.