CHARLES BROWN – Acute Care Nurse Practitioner, NPI 1053762005

CHARLES BROWN is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold a License No. F06161371 (CA). The NPI Number for CHARLES BROWN is 1053762005

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES BROWN
NPI
1053762005
Phone
(760) 201-6752
Address
3410 FIR ST
Enumeration Date
30 June 2016
Last Update Date
30 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6194560033
Graduation Year
2016 (10 years ago)
PAC ID
8628356466
Group Practice PAC ID
1557530151
Professional Enrollment ID
I20161028000596
Address ID
CA920713154SA10538RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for CHARLES BROWN

  • 3410, Fir Street, Bayridge, San Diego, San Diego County, California, 92104, United States

    SAN DIEGO, CA 921045706

    Phone: (760) 201-6752

    Type: Mailing

  • Sharp Chula Vista Medical Center, 751, Medical Center Court, Chula Vista, San Diego County, California, 91911, United States

    CHULA VISTA, CA 919116617

    Phone: (760) 201-6752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161028000596INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes7070$0
99213Established patient office or other outpatient visit, 20-29 minutes5048$0
99214Established patient office or other outpatient visit, 30-39 minutes4944$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3938$0
View full utilization report →

Insurance plans in this area (ZIP 92104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557530151View full group profile
NameSpecialtyState
Physician AssistantMT
Physician AssistantCA
Physician AssistantFL
-CA
-MO
Nurse PractitionerCA
Physician AssistantCA
General PracticeCA
-CA
-CA

Reviews

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Frequently asked questions

Is CHARLES BROWN listed with a National Provider Identifier?
Yes — CHARLES BROWN has NPI 1053762005 on file in the registry.
Is CHARLES BROWN shown as active in public data?
Registry records indicate CHARLES BROWN maintains an active NPI.
What area of care is associated with CHARLES BROWN?
CHARLES BROWN's record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with CHARLES BROWN?
Directory geography for CHARLES BROWN centers on San Diego, California.
Does CHARLES BROWN accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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