Rosemary H Brown, FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rexburg, ID
NPI 1972504231 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1972504231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP719A (ID)
- Practice address
- 33 Madison Professional Park
Rexburg, ID 83440-2057 - Phone
- (208) 243-9304
- Fax
- (208) 656-5668
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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 LLC
Cress Creek Counseling PLLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060111000830 | ID | Practitioner - Nurse Practitioner | 2668495029 | Reassigns benefits to 1 organization |
| I20190523000871 | NV | Practitioner - Nurse Practitioner | 2668495029 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15222A | ID | MD | Family Nurse Practitioner |
| NP719A | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cress Creek Counseling PLLC | Current |
Accepting new patients | |
| Joshua R Fullmer MD PLLC | Current |
Accepting new patients | |
| Balanced Mental Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
33 Madison Professional Park
Rexburg, ID 83440
Phone (208) 243-9304
264 E Main St
Rexburg, ID 83440
Phone (208) 359-1888
1775 Browning Way
Ste 102
Elko, NV 89801
Phone (775) 299-4555
Interoperability endpoints
- cresscreek.rosemarybrown@160450.advancedmd-direct.com
- rosemary.brown.1@31355.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15222A | ID | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP719A | ID | Yes |
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
Other providers in Rexburg, ID
- Alexander Ray Brinkley
- Broulim Supermarkets, LLC
- Colby Ray Brower
- Eric Lee Brown
- Pamela Brown
- Michael Brunson
- Shelby Renee Brunson
- Zachery M Brunson
- Bryce B. Thueson, O.D., PLLC
- Rayo Pascal Budge
All providers in Rexburg, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.