Active NPI
Marina Lonnie Brown, PHYSICIAN ASSISTANT
- Physician Assistant
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0006497
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 OrthopedicsCommunity Medical Group LLC
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006497 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Group, LLC | Current | Accepting new patients | |
| Grand Valley Orthopedics | Current | 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.
-
- Specialist
- Grand Junction, CO
- NPI 1487292868
-
- Specialist
- Grand Junction, CO
- NPI 1548807829
-
- Specialist
- Grand Junction, CO
- NPI 1720736937
-
- Specialist
- Grand Junction, CO
- NPI 1689098295
-
- Specialist
- Grand JCT, CO
- NPI 1265079545
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.