Individual provider Active NPI

Kerry-Ann Melisa Brown, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1801682935
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71016545A Issued in IN
Practice address
3955 W Washington Center Rd
Fort Wayne, IN 46818-1526
Phone
(260) 344-4038
NPI assigned
Apr 16, 2025
Last updated
Apr 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71016545A IN Primary

Addresses

Primary practice location

3955 W Washington Center Rd
Fort Wayne, IN 46818-1526

Mailing address

3955B W Washington Center Rd
Fort Wayne, IN 46818-1526
Phone (260) 344-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250604003945 IN Practitioner - Nurse Practitioner 5597274027 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Hospital Care Group, P.C. CurrentSince May 6, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601

3955 W Washington Center Rd
#B
Fort Wayne, IN 46818

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

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.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1801682935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955B W WASHINGTON CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181526",
            "telephone_number": "260-344-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 W WASHINGTON CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181526",
            "telephone_number": "260-344-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KERRY-ANN",
        "middle_name": "MELISA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71016545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.