Individual provider Active NPI

Inja Cristal Brown, APRN

  • Family Nurse Practitioner
  • De Queen, AR
National Provider Identifier
1861945040
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004852 Issued in AR
Practice address
1206 W Collin Raye Dr
De Queen, AR 71832-2030
Phone
(888) 710-8220
Fax
(866) 573-0761
NPI assigned
Jul 25, 2016
Last updated
May 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2023

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 A004852 AR Primary

Addresses

Primary practice location

1206 W Collin Raye Dr
De Queen, AR 71832-2030

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (479) 437-3449

Other identifiers 1

IdentifierTypeStateIssuer
218047758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170109002836 AR Practitioner - Nurse Practitioner 0244511053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

Camden, AR 71701
Phone (972) 833-4573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004852ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Solutions of Nwa, LLC CurrentSince Jan 1, 2025 Accepting new patients
Pallicare, Inc Family CurrentSince Nov 7, 2024 Accepting new patients
Healthy Connections Incorporated Current Accepting new patients
Healthy Connections Inc CurrentSince Nov 4, 2019 Accepting new patients
Healthy Connections Inc Past Accepting new patients
Wound Solutions of Central Arkansas LLC PastSince May 1, 2023 Accepting new patients

Locations

1206 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3317

1357 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-2000

208 McAuley Ct
Ste B
Hot Springs, AR 71913

3604 Central Ave
Ste D
Hot Springs, AR 71913
Phone (501) 318-0646

1021 Neil Dr
Ste 101
Jonesboro, AR 72401
Phone (870) 898-0088

1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040

534 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-4244

Interoperability endpoints

  • Direct secure messaging: inja.brown.1@26850.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1861945040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "479-437-3449",
            "fax_number": "479-243-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322030",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "INJA",
        "middle_name": "CRISTAL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218047758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

Verify at the official NPI Registry.