REGINA BROWN (NP) – Family Nurse Practitioner, NPI 1164018370

REGINA BROWN (NP) is a healthcare provider. based in Bourbonnais, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209022382 (IL). The NPI Number for REGINA BROWN (NP) is 1164018370

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
REGINA BROWN (NP)
NPI
1164018370
Phone
(779) 262-0483
Address
2070 N STATE ROUTE 50 STE 500
Enumeration Date
12 December 2020
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
2365844933
Group Practice PAC ID
5597275685
Professional Enrollment ID
I20210706002563
Address ID
IL609013695KA455XXSTXX400
Telehealth
Yes

Contacts

Other Endpoint
rbrown@midwestexpressclinic.com
Other Endpoint
regina.l.brown@illinois.gov
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for REGINA BROWN (NP)

  • 2070 N STATE ROUTE 50 STE 500

    BOURBONNAIS, IL 609145507

    Phone: (779) 262-0483

    Type: Location

  • 1 Veterans Dr

    Manteno, IL 609509466

    Phone: (815) 549-5333

    Type: Location

  • 1 VETERANS DR

    MANTENO, IL 609509466

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,341.

Total Amount is formed as General ($1,341) + Research ($0) + Ownership ($0) = $1,341.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: NESTLE HEALTHCARE NUTRITION INC. ($627).

Total Amount

$1,341

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-06

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
I20210706002563INurse PractitionerILTBD

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 60914)

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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: 5597275685View full group profile
NameSpecialtyState
Physician AssistantIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Internal Medicine, GastroenterologyIN
Internal MedicineIL
Family PracticeIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Internal MedicineIL
Family PracticeIL
Internal Medicine, Emergency MedicineMI
Family Practice, Emergency MedicineIL

Reviews

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Frequently asked questions

What federal number belongs to REGINA BROWN (NP)?
The federal identifier for REGINA BROWN (NP) is NPI 1164018370.
Does this profile mean REGINA BROWN (NP) is currently active?
Yes — REGINA BROWN (NP) appears active in the national provider directory.
What kind of provider is REGINA BROWN (NP)?
The page reflects Family Nurse Practitioner for REGINA BROWN (NP). Clinical services aligned with this taxonomy classification.
Where is REGINA BROWN (NP)'s primary listing?
We display Bourbonnais, Illinois because that is what the record indicates for REGINA BROWN (NP).
Is REGINA BROWN (NP) a real provider?
This page reflects official NPPES data for NPI 1164018370. Always confirm identity and privileges with the practice and licensing boards.

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