JENNY LYNETTE BROWN (NP-C) – Adult Health Nurse Practitioner, NPI 1063983088
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for JENNY LYNETTE BROWN (NP-C)
6912 CANDLEWICK WAY
FLORISSANT, MO 630335113
Phone: (314) 696-9723
Type: Location
4414, West Center Drive, Alton, Madison County, Illinois, 62002, United States
ALTON, IL 620025932
Phone: (314) 696-9723
Type: Mailing
1137 N CENTRAL AVE APT 313
GLENDALE, CA 912023670
Phone: (314) 873-4485
Type: Mailing
1016 S RECORD AVE
LOS ANGELES, CA 900232533
Phone: (314) 873-4485
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($42).
Total Amount
$264
General + Research + Ownership
Payments
13
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190510000005 | I | Nurse Practitioner | IL | TBD |
| I20210909003303 | I | Nurse Practitioner | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | MI | |
| Nurse Practitioner | IL | |
| Pain Management, Physical Medicine And Rehabilitation | CA | |
| Physical Medicine And Rehabilitation | IL | |
| Nurse Practitioner | CA | |
| Physical Medicine And Rehabilitation | NJ | |
| Physical Medicine And Rehabilitation | NY | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | VT |
Reviews
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