Individual provider Active NPI

Colleen Marie Brown, FNP

  • Nurse Practitioner
  • Rockingham, NC
National Provider Identifier
1942982145
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
217076 Issued in NC
Practice address
921 S Long Dr Ste 205
Rockingham, NC 28379-4874
Phone
(910) 417-3477
Fax
(910) 417-3489
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217076 NC Primary

Addresses

Primary practice location

921 S Long Dr Ste 205
Rockingham, NC 28379-4874

Mailing address

921 S Long Dr Ste 205
Rockingham, NC 28379-4874
Phone (910) 417-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230920003141 NC Practitioner - Nurse Practitioner 9335593664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-1 LLCGroup PAC ID 6901944750, 4 clinicians

Practice addresses (Care Compare)

921 S Long Dr
Suite 205
Rockingham, NC 28379-4874
Phone (910) 417-3477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217076NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-12, LLC CurrentSince Aug 1, 2025 Accepting new patients
MCPC-12, LLC CurrentSince Aug 1, 2025 Accepting new patients
MCPC-1 LLC CurrentSince Sep 1, 2023 Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

110 Medical Cir
#A
Rockingham, NC 28379
Phone (910) 417-3477

921 S Long Dr
Ste 205
Rockingham, NC 28379
Phone (910) 417-3477

Interoperability endpoints

  • Direct secure messaging: cbrown8219@firsthealth.direct-ci.net

Organizations & group practices 4

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 4

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1942982145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S LONG DR STE 205",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3477",
            "fax_number": "910-417-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S LONG DR STE 205",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3477",
            "fax_number": "910-417-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "217076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.