Individual provider Active NPI

Rosemary H Brown, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Rexburg, ID
National Provider Identifier
1972504231
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP719A Issued in ID
Practice address
33 Madison Professional Park
Rexburg, ID 83440-2057
Phone
(208) 243-9304
Fax
(208) 656-5668
NPI assigned
Aug 9, 2005
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15222A ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP719A ID Primary

Addresses

Primary practice location

33 Madison Professional Park
Rexburg, ID 83440-2057

Mailing address

33 Madison Professional Park
Rexburg, ID 83440-2057
Phone (208) 243-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060111000830 ID Practitioner - Nurse Practitioner 2668495029 Reassigns benefits to 1 organization
I20190523000871 NV Practitioner - Nurse Practitioner 2668495029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Mental Wellness LLCGroup PAC ID 7214391267, 2 clinicians
Cress Creek Counseling PLLCGroup PAC ID 8224476585, 2 clinicians

Practice addresses (Care Compare)

1775 Browning Way
Suite 102
Elko, NV 89801-8338
Phone (775) 403-6718

33 Madison Professional Park
Rexburg, ID 83440-2057
Phone (208) 243-9304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15222AIDMDFamily Nurse Practitioner
NP719AIDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cress Creek Counseling PLLC CurrentSince Nov 1, 2024 Accepting new patients
Balanced Mental Wellness LLC Psychiatric/Mental Health CurrentSince Aug 13, 2024 Accepting new patients
Joshua R Fullmer MD PLLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

264 E Main St
Rexburg, ID 83440
Phone (208) 359-1888

33 Madison Professional Park
Rexburg, ID 83440
Phone (208) 243-9304

1775 Browning Way
Ste 102
Elko, NV 89801
Phone (775) 299-4555

Interoperability endpoints

  • Direct secure messaging: cresscreek.rosemarybrown@160450.advancedmd-direct.com
  • Direct secure messaging: rosemary.brown.1@31355.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1972504231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402057",
            "telephone_number": "208-243-9304",
            "fax_number": "208-656-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402057",
            "telephone_number": "208-243-9304",
            "fax_number": "208-656-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROSEMARY",
        "middle_name": "H",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "15222A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.