Individual provider Active NPI

Olivia Jacklynne Brown, DNP, CNP

  • Family Nurse Practitioner
  • Flandreau, SD
National Provider Identifier
1992348379
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001660 Issued in SD
Practice address
212 N Prairie St
Flandreau, SD 57028-1243
Phone
(605) 997-2471
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001660 SD Primary

Addresses

Primary practice location

212 N Prairie St
Flandreau, SD 57028-1243

Mailing address

212 N Prairie St
Flandreau, SD 57028-1243
Phone (605) 997-2471

Other names 1

  • Olivia Jacklynne Braun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 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
I20200103001690 SD Practitioner - Nurse Practitioner 0446684252 Reassigns benefits to 2 organizations
I20240117003692 TX Practitioner - Nurse Practitioner 0446684252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flandreau Santee Sioux TribeGroup PAC ID 0840376380, 11 clinicians

Practice addresses (Care Compare)

403 W Broad Ave
Flandreau Santee Sioux Tribal
Flandreau, SD 57028-1630
Phone (605) 997-2642

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Nov 17, 2019 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2025 Accepting new patients
Flandreau Santee Sioux Tribe CurrentSince Nov 29, 2023 Accepting new patients
T & L Quick Care PC CurrentSince Mar 30, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Nov 17, 2019 Accepting new patients
American Advanced Practice Network, P.C. CurrentSince Mar 30, 2021 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

403 W Broad Ave
Flandreau, SD 57028
Phone (605) 997-2642

1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762

Interoperability endpoints

  • Direct secure messaging: olivia.brown@avera.sdhealthlink.net

Organizations & group practices 8

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 1

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1992348379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "OLIVIA",
        "middle_name": "JACKLYNNE",
        "credential": "DNP, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "BRAUN",
            "middle_name": "JACKLYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flandreau, SD

Sources for this page

Verify at the official NPI Registry.