Patricia Brown, APRN , FNP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Darien, IL
NPI 1730622952 · NPPES record last updated Oct 26, 2024
Key facts
- NPI
- 1730622952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209014406 (IL)
- Practice address
- 7900 Cass Ave Ste 200
Darien, IL 60561-5073 - Phone
- (630) 884-8643
- NPI assigned
- Nov 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edgewood Clinical Services P.C.
Practice addresses (Care Compare)
7900 Cass Ave
Suite 200
Darien, IL 60561-5073
Phone (888) 428-7890
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130001119 | IL | Practitioner - Nurse Practitioner | 5294017166 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014406 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Edgewood Clinical Services, P.C. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Advocate Health & Hospitals Corporation | Current |
Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117
7900 Cass Ave
Ste 200
Darien, IL 60561
Phone (630) 581-7134
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
3027 English Rows Ave
Ste 201
Naperville, IL 60564
Interoperability endpoints
- lifestancehealth.patriciabrown@146897.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014406 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209014406 | IL | Yes |
Addresses
Primary practice location
7900 Cass Ave Ste 200
Darien, IL 60561-5073
Mailing address
7900 Cass Ave Ste 200
Darien, IL 60561-5073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-014406 | Medicaid | IL | |
| 13936011 | Other | IL | CAQH |
Other providers in Darien, IL
- Blue Sky Dental PLLC
- Komal Bodalia
- Alexis Bollman
- Jeanne Bonet
- Breaunna Brown
- Erin Elizabeth Browne
- Jessica Budziak
- Lindsey Bugno
- Miranda Burgett
- Toccara Burns
All providers in Darien, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.