Individual provider Active NPI

Marina Lonnie Brown, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1902408545
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006497 Issued in CO
Practice address
201 W Park Dr
Grand Junction, CO 81505-1469
Phone
(970) 242-0162
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006497 CO Primary

Addresses

Primary practice location

201 W Park Dr
Grand Junction, CO 81505-1469

Mailing address

431 1/2 Devon CT
Grand Junction, CO 81504-6344
Phone (970) 216-6848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210326000069 CO Practitioner - Physician Assistant 8820405491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Valley Orthopedics 27 clinicians
Community Medical Group LLC 109 clinicians

Practice addresses (Care Compare)

2373 G Rd
Grand Junction, CO 81505-1003

2373 G Rd
Grand Junction, CO 81505-1006

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006497COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Community Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Grand Valley Orthopedics CurrentSince Apr 1, 2021 Accepting new patients
Community Medical Group Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

2532 Patterson Rd
Ste 10
Grand Junction, CO 81505
Phone (970) 241-2820

2373 G Rd
Ste 280
Grand Junction, CO 81505
Phone (970) 243-9343

2373 G Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 245-0484

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

225 Eagle Crest Dr
Rangely, CO 81648
Phone (970) 675-4253

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1902408545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 1/2 DEVON CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046344",
            "telephone_number": "970-216-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-242-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARINA",
        "middle_name": "LONNIE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.