RONNIE KEITH BROWN (NP) – Nurse Practitioner, NPI 1104860907
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for RONNIE KEITH BROWN (NP)
110 Park St
Walnut Grove, MS 391896526
Phone: (601) 253-0173
Fax: (601) 253-0176
Type: Location
2500 N State St
Jackson, MS 392164500
Phone: (601) 815-1312
Fax: (601) 815-1132
Type: Location
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164500
Phone: (601) 925-6805
Fax: (601) 926-4978
Type: Mailing
965 RIDGE LAKE BLVD STE 315
MEMPHIS, TN 381209401
Phone:
Fax: (901) 227-8591
Type: Mailing
Ronald Reagan Cross County Highway, Hartwell, Cincinnati, Hamilton County, Ohio, 45216, United States
CARTHAGE, MS 39051
Phone: (601) 253-0173
Fax: (601) 346-2352
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: ABBVIE INC. ($34).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $34 |
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: 2005-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050411001065 | I | Nurse Practitioner | MS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 78 | 34 | $0 |
Insurance plans in this area (ZIP 39189)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| - | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Family Practice | SC | |
| Nurse Practitioner | MS |
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