Individual provider Active NPI

Christanna Marie Brown, BSN, RNFA, CNOR

  • Nurse Practitioner
  • Centralia, IL
National Provider Identifier
1841925864
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209033376 Issued in MO
Practice address
1307 E McCord St
Centralia, IL 62801-3610
Phone
(618) 367-6131
NPI assigned
Jul 22, 2022
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209033376 MO Primary
Registered Nurse First Assistant 163WR0006X 041402399 IL

Addresses

Primary practice location

1307 E McCord St
Centralia, IL 62801-3610

Mailing address

1307 E McCord St
Centralia, IL 62801-3610
Phone (618) 367-6131

Other practice location 1

2 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2476
Phone (618) 899-3980

Other names 1

  • Christanna Marie Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20251204002042 IL Practitioner - Nurse Practitioner 0941793202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians

Practice addresses (Care Compare)

2 Good Samaritan Way
Suite 235
Mount Vernon, IL 62864-2476
Phone (618) 899-3970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041402399ILMDRegistered Nurse First Assistant
209033376MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Nov 3, 2025 Accepting new patients

Locations

2 Good Samaritan Way
Ste 235
Mount Vernon, IL 62864
Phone (618) 899-3970

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

Interoperability endpoints

  • Direct secure messaging: cbrown83101@direct-ehr-ssmhc.com

Organizations & group practices 1

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1841925864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013610",
            "telephone_number": "618-367-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013610",
            "telephone_number": "618-367-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Good Samaritan Way Ste 235",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642476",
            "country_code": "US",
            "telephone_number": "618-899-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BSN, RNFA, CNOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "209033376",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041402399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTANNA",
            "last_name": "JONES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.