Individual provider Active NPI

Mary Elizabeth Brown, FNP-C

  • Family Nurse Practitioner
  • Rock Valley, IA
National Provider Identifier
1811482318
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A151610 Issued in IA
Practice address
1202 21St Ave
Rock Valley, IA 51247-1420
Phone
(712) 476-8000
Fax
(712) 476-8064
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A151610 IA Primary

Addresses

Primary practice location

1202 21St Ave
Rock Valley, IA 51247-1420

Mailing address

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180823001706 IA Practitioner - Nurse Practitioner 9739438755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hegg Memorial Hospital Current Accepting new patients
Hegg Memorial Hospital CurrentSince Jul 30, 2018 Accepting new patients
Hegg Memorial Hospital CurrentSince Jul 30, 2018 Accepting new patients

Locations

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

Interoperability endpoints

  • Direct secure messaging: mary.brown@avera.sdhealthlink.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1811482318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 21ST AVE",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471420",
            "telephone_number": "712-476-8000",
            "fax_number": "712-476-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 21ST AVE",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471420",
            "telephone_number": "712-476-8000",
            "fax_number": "712-476-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A151610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

Verify at the official NPI Registry.