Douglas Eisenbrown, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.022954 Issued in OH

Practice address

855 Coshocton Ave
Mount Vernon, OH 43050-1975

Phone

(403) 266-5527

NPI assigned

Dec 20, 2018

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wedgewood Urgent Care, LTDGroup PAC ID 1557266129, 26 clinicians

Memorial Hospital of Union CountyGroup PAC ID 3577551621, 25 clinicians

Family Urgent Care LLCGroup PAC ID 1254565302, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.eisenbrown@krogerhealth.eclinicaldirectplus.com

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.

• Family Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Chillicothe, OH
  • NPI 1598107526
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Union County

  dba Memorial Urgent Care

  • Urgent Care Clinic/Center
  • Marysville, OH
  • NPI 1093763757
  Medicare reassignment Care Compare group NPD
• Wedgewood Urgent Care, LTD

  • Family Medicine Physician
  • Powell, OH
  • NPI 1487601167
  Medicare reassignment Care Compare group NPD
• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Family Urgent Care LLC

  • Urgent Care Clinic/Center
  • Circleville, OH
  • NPI 1235588823
  NPD
• Memorial Hospital of Union County

  dba Dave's Pharmacy

  • Community/Retail Pharmacy
  • Marysville, OH
  • NPI 1407474844
  NPD

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1720550304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501975",
            "telephone_number": "403-266-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBROWN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Earnest, PHD
• Terrah Eaton
• James Laurence Edick, O.D.
• Laura Eichenlaub, NP-C
• Jason Lynn Eicher, LPC
• Elevated Hearing Center, LLC
• Elite Medical Supplies of Oh, Inc.
• Della Ellinger, LISW-S
• Abigail L Elliott, DPM
• Jennifer Elliott, CDCA

• Family Nurse Practitioner in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.