Individual provider Active NPI

Jennifer Marie Brown, NP

  • Acute Care Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1811585698
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
254060 Issued in AZ
Practice address
37100 N Gantzel Rd Ste 113
San Tan Valley, AZ 85140-7351
Phone
(480) 325-8173
NPI assigned
Jan 6, 2021
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 254060 AZ Primary

Addresses

Primary practice location

37100 N Gantzel Rd Ste 113
San Tan Valley, AZ 85140-7351

Mailing address

21382 E Lords CT
Queen Creek, AZ 85142-3283
Phone (480) 695-4461

Other names 1

  • Jennifer M Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.johnson4@bannerhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210420002291 AZ Practitioner - Nurse Practitioner 7810305406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3155 E Southern Ave
Suite 103
Mesa, AZ 85204-5520
Phone (480) 325-8173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Lung & Sleep Institute PLLC PastSince Mar 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.johnson4@bannerhealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1811585698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21382 E LORDS CT",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423283",
            "telephone_number": "480-695-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 113",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407351",
            "telephone_number": "480-325-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "254060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.johnson4@bannerhealth.com",
            "affiliation": "N",
            "address_1": "37100 N Gantzel Rd Ste 113",
            "city": "San Tan Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851407351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JOHNSON",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.