MS. KERAYE BROWN (APRN) – Nurse Practitioner, NPI 1366275489

MS. KERAYE BROWN (APRN) is a healthcare provider. based in Davenport, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11033424 (FL). The NPI Number for MS. KERAYE BROWN (APRN) is 1366275489

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. KERAYE BROWN (APRN)
NPI
1366275489
Phone
Not provided
Address
410 LIONEL WAY STE 203
Enumeration Date
23 August 2024
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
6709312838
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20241211004740
Address ID
FL338377809DA410XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MS. KERAYE BROWN (APRN)

  • 410 LIONEL WAY STE 203

    DAVENPORT, FL 338377809

    Phone:

    Mailing address matches the actual address.

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: 2024-12-11

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
I20241211004740INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33837)

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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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

How is MS. KERAYE BROWN (APRN) identified in CMS data?
CMS-hosted NPPES data lists MS. KERAYE BROWN (APRN) with NPI 1366275489.
Does CMS list MS. KERAYE BROWN (APRN) as active?
Yes — MS. KERAYE BROWN (APRN) is active in the NPI listing used on this page.
What is MS. KERAYE BROWN (APRN)'s primary classification?
Nurse Practitioner is the headline specialty for MS. KERAYE BROWN (APRN) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. KERAYE BROWN (APRN)?
MS. KERAYE BROWN (APRN)'s geographic hint is Davenport, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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