Demarco Shontez Brownlee
Individual provider Active NPI Nurse Practitioner · Edwardsville, IL
NPI 1992544407 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1992544407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209.033420 (IL)
- Practice address
- 1 Hairpin Dr
Edwardsville, IL 62026-0001 - Phone
- (618) 650-3956
- NPI assigned
- May 23, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Inpatient Anderson Health Inc
Practice addresses (Care Compare)
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
- Anderson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20260205003162 | IL | Practitioner - Nurse Practitioner | 3072092451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.033420 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Inpatient Anderson Health, Inc | Current |
Accepting new patients |
Locations
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.033420 | IL | Yes |
Addresses
Primary practice location
1 Hairpin Dr
Edwardsville, IL 62026-0001
Mailing address
1 Hairpin Dr
Edwardsville, IL 62026-0001
Other providers in Edwardsville, IL
- Abbey Brooks
- Caleb Brown
- Miah Brown
- Montana Sky Brown
- Nathan Brown
- Brittany Rachelle Brunetti
- Stacey Bryant
- Maura Katherine Buchheit
- Brooke Anne Buffington
- Nhi Khanh Bui
All providers in Edwardsville, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. 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.