Nicole Marie Brown, APNP PMHNP - Medicare Nurse Practitioner in Green Bay, WI

Nicole Marie Brown, APNP PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Green Bay, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sbh-green Bay Llc, Dispatchhealth - Arizona and her current practice location is 200 S Broadway, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Nicole Marie Brown is licensed to practice in Wisconsin (license number 5066) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891047460.

Contact Information

Nicole Marie Brown, APNP PMHNP
200 S Broadway,
Green Bay, WI 54303-1516
(920) 496-4700
(920) 496-4705

Map and Direction




Provider's Profile

Full NameNicole Marie Brown
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location200 S Broadway, Green Bay, Wisconsin
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Marie Brown graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1891047460
  • Provider Enumeration Date: 10/08/2012
  • Last Update Date: 05/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4880847144
  • Enrollment ID: I20130117000156

Medical Identifiers

Medical identifiers for Nicole Marie Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891047460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5066-33 (Wisconsin)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5066 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sbh-green Bay Llc75172481985
Dispatchhealth - Arizona781026842288

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Brown allows following entities to bill medicare on her behalf.
Entity NameSbh-green Bay Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922556778
PECOS PAC ID: 7517248198
Enrollment ID: O20180103001595
Entity NameSequoia Integrative Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790312171
PECOS PAC ID: 8527480250
Enrollment ID: O20200625000133
Entity NameDispatchhealth - Arizona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194398511
PECOS PAC ID: 7810268422
Enrollment ID: O20210827001139

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Brown is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Marie Brown, APNP PMHNP
1351 Ontario Road,
Green Bay, WI 54311

Ph: (920) 496-4700
Nicole Marie Brown, APNP PMHNP
200 S Broadway,
Green Bay, WI 54303-1516

Ph: (920) 496-4700

Reviews and Comments


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Phone: 920-338-6868    Fax: 920-338-6869

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.