Active NPI
Kelli D. Brown, FNP-C
- Nurse Practitioner
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005613A
- Practice address
- 2816 Veach Rd Ste 403
Owensboro, KY 42303 - Phone
- (270) 684-1145
- Fax
- (270) 684-1190
- NPI assigned
- Jun 30, 2015
- Last updated
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005613A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 3012493 | KY | |
| Family Nurse Practitioner | 363LF0000X | 28215502A | IN |
Addresses
Primary practice location
2816 Veach Rd Ste 403
Owensboro, KY 42303
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
4506 1st Ave
Evansville, IN 47710-3624
Phone (812) 428-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
148 13TH St
Tell City, IN 47586-1937
Phone (812) 547-0333
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28215502A | IN | MD | Family Nurse Practitioner |
| 3012493 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Perry County Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Perry County Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
| Advanced Wellness Chiropractic, PLLC | Past | Accepting new patients | |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
Locations
109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447
148 13th St
Tell City, IN 47586
Phone (812) 547-0333
315 Main St
Troy, IN 47588
Phone (812) 547-9552
35 Joshua Ln
Hawesville, KY 42348
Phone (270) 927-1000
340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
Interoperability endpoints
- kelli.brown.1@21400.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba PCMH Provider Clinics
- General Practice Physician
- Tell City, IN
- NPI 1629621396
Nurse Practitioner
-
dba Deaconess Clinic I
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
Nurse Practitioner
-
- Nurse Practitioner
- Owensboro, KY
- NPI 1457843815
-
dba Main Street Clinic
- Nurse Practitioner
- Tell City, IN
- NPI 1740151489
-
- Chiropractor
- Hawesville, KY
- NPI 1912178260
-
dba PCMH Wound Care Center
- Critical Access Hospital
- Tell City, IN
- NPI 1447206248
Family
-
dba 13th Street Clinic
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1922393768
Family
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1790168516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 VEACH RD STE 403",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-684-1145",
"fax_number": "270-684-1190"
}
],
"practiceLocations": [
{
"address_1": "4506 1st Ave",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477103624",
"country_code": "US",
"telephone_number": "812-428-6161",
"fax_number": "812-421-2883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KELLI",
"middle_name": "D.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005613A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012493",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28215502A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.