Active NPI
Jenny L Brown
- Medical Physician Assistant
- Beulah, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1312 Highway 49 N
Beulah, ND 58523-6038 - Phone
- (701) 873-4445
- NPI assigned
- Jun 14, 2019
- Last updated
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | Primary |
Addresses
Primary practice location
1312 Highway 49 N
Beulah, ND 58523-6038
Mailing address
1312 Highway 49 N
Beulah, ND 58523-6038
Phone (701) 873-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1312 Hwy 49 N
Beulah, ND 58523-6038
Phone (701) 873-4445
510 8TH Ave NE
Hazen, ND 58545-4637
Phone (701) 748-2256
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazen Memorial Hospital Association | Current | Accepting new patients | |
| Coal Country Community Health Center | Current | Accepting new patients | |
| Hazen Memorial Hospital Association | Current | Accepting new patients | |
| Coal Country Community Health Center | Current | Accepting new patients |
Locations
1312 Highway 49 N
Beulah, ND 58523
Phone (701) 873-4445
510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225
220 4th Ave SW
Killdeer, ND 58640
Phone (701) 764-5093
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.
-
- Federally Qualified Health Center (FQHC)
- Beulah, ND
- NPI 1942288329
-
dba Sakakawea Clinic
- Family Medicine Physician
- Hazen, ND
- NPI 1356315220
-
dba Sakakawea Medical Center
- Critical Access Hospital
- Hazen, ND
- NPI 1700965696
-
- Federally Qualified Health Center (FQHC)
- Killdeer, ND
- NPI 1407235575
-
dba Sakakawea Hazen Clinic
- Rural Health Clinic/Center
- Hazen, ND
- NPI 1174597173
-
dba Sakakawea Medical Center Hospice
- Community Based Hospice Care Agency
- Hazen, ND
- NPI 1730306812
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sakakawea Medical Center
- Critical Access Hospital
- Hazen, ND
- NPI 1700965696
-
dba CHI St. Alexius Health
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1891355608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 HIGHWAY 49 N",
"city": "BEULAH",
"state": "ND",
"postal_code": "585236038",
"telephone_number": "701-873-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 HIGHWAY 49 N",
"city": "BEULAH",
"state": "ND",
"postal_code": "585236038",
"telephone_number": "701-873-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JENNY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2023-05-11",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beulah, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.