MR. COLLIN MARSHALL BROWN – Physician Assistant, NPI 1316400765

MR. COLLIN MARSHALL BROWN is a healthcare provider. based in La fontaine, Indiana. specializing in PHYSICIAN ASSISTANT. The NPI Number for MR. COLLIN MARSHALL BROWN is 1316400765

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. COLLIN MARSHALL BROWN
NPI
1316400765
Phone
(765) 667-8613
Address
6291 N 300 W27
Enumeration Date
12 April 2019
Last Update Date
15 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394822663
Graduation Year
2020 (6 years ago)
PAC ID
6406269695
Group Practice PAC ID
9931183639
Professional Enrollment ID
I20210107001251
Address ID
FL339193370FO12670LNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MR. COLLIN MARSHALL BROWN

  • 6291 N 300 W27

    LA FONTAINE, IN 469409510

    Phone: (765) 667-8613

    Type: Mailing

  • 19551 BOWRING PARK RD APT 105

    FORT MYERS, FL 339675231

    Phone: (765) 667-8613

    Type: Mailing

  • 15821 HOLLYFERN CT

    FORT MYERS, FL 339083732

    Phone: (239) 432-5100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $356.

Total Amount is formed as General ($356) + Research ($0) + Ownership ($0) = $356.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Arthrex, Inc. ($299).

Total Amount

$356

General + Research + Ownership

Payments

12

Total payment records

General Amount

$356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-01-07

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
I20210107001251IPhysician AssistantFLTBD

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 46940)

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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: 9931183639View full group profile
NameSpecialtyState
Physician AssistantFL
P O D I A T R YNJ
Orthopedic SurgeryFL
P O D I A T R YFL
Physician AssistantFL
Physician AssistantFL
Occupational Therapist In Private PracticeFL
P O D I A T R YFL
Physician AssistantNY
Physician AssistantFL

Reviews

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Frequently asked questions

Does MR. COLLIN MARSHALL BROWN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. COLLIN MARSHALL BROWN uses 1316400765.
Does the file indicate MR. COLLIN MARSHALL BROWN is practicing under active NPI?
Directory data currently reports MR. COLLIN MARSHALL BROWN as active.
What is MR. COLLIN MARSHALL BROWN's specialty?
The listing groups MR. COLLIN MARSHALL BROWN with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. COLLIN MARSHALL BROWN serve?
MR. COLLIN MARSHALL BROWN's listing highlights La Fontaine, Indiana; more addresses can appear in NPPES.
Why does MR. COLLIN MARSHALL BROWN have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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