Nicole Marie Brown, APNP PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5066 Issued in WI

Practice address

200 S Broadway
Green Bay, WI 54303-1516

Phone

(920) 496-4700

Fax

(920) 496-4705

NPI assigned

Oct 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole M Brown Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

SBH-Green Bay LLCGroup PAC ID 7517248198, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.27 of 100Reported as group

Quality

45.09

Improvement activities

40

Cost

66.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SBH-Green Bay LLC

  dba Willow Creek Behavioral Health

  • Psychiatric Hospital
  • Green Bay, WI
  • NPI 1922556778
  Medicare reassignment Care Compare group NPD
• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1023884871
  Medicare reassignment NPD
• Sequoia Integrative Medical Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Kaukauna, WI
  • NPI 1790312171

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Prevea Clinic, Inc.

  • Internal Medicine Physician
  • Green Bay, WI
  • NPI 1306869276
  NPD
• Prevea Clinic, Inc.

  • Family Medicine Physician
  • Chippewa Falls, WI
  • NPI 1588110969
  NPD
• SBH-Madison LLC

  dba Miramont Behavioral Health

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1003413816
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1891047460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ONTARIO ROAD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54311",
            "telephone_number": "920-496-4700",
            "fax_number": "920-496-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031516",
            "telephone_number": "920-496-4700",
            "fax_number": "920-496-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "APNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2024-05-01",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5066-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BROWN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha K Brown-Nooyen, LMT
• Cynthia J Brown-Sullivan, MD
• Ashley Brown, MS CCC-SLP
• Deann Brown, APNP
• Erika Paige Brown, PA-C
• Senior L Brown, SAC-IT
• Lori A Brudnicki
• Aubree Rae Bruhnding, DO
• Paul Bruhnding, D.O.
• Kennedy M Brummond, OT

• Psychiatric/Mental Health Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.