Individual provider Active NPI

Fernisha Kaysteine Brown, NP

  • Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1992310809
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
256821 Issued in AZ
Practice address
5227 E. Carefree Hwy
Cave Creek, AZ 85331
Phone
(000) 000-0000
NPI assigned
Sep 9, 2020
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 256821 AZ Primary
Emergency Registered Nurse 163WE0003X RN170370 AZ

Addresses

Primary practice location

5227 E. Carefree Hwy
Cave Creek, AZ 85331

Mailing address

5227 E Carefree Hwy
Cave Creek, AZ 85331-9173
Phone (602) 824-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210426002354 AZ Practitioner - Nurse Practitioner 6800204157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN170370AZMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Jun 1, 2021 Accepting new patients
Emergency Group of Arizona Professional Corporation Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
Leading Healthcare, LLC Emergency CurrentSince May 15, 2023 Accepting new patients
Leading Health Managed Care, LLC CurrentSince May 15, 2023 Accepting new patients
TL Family Nurse Practice LLC CurrentSince Oct 30, 2023 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1880 E Van Buren St
Phoenix, AZ 85006
Phone (602) 253-4570

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029
Phone (602) 841-9720

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

Organizations & group practices 6

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1992310809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 E CAREFREE HWY",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853319173",
            "telephone_number": "602-824-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 E. CAREFREE HWY",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "85331",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "FERNISHA",
        "middle_name": "KAYSTEINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "256821",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN170370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.