JEAN BROWN (FNP) – Nurse Practitioner, NPI 1649399031

JEAN BROWN (FNP) is a healthcare provider. based in Dexter, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 128752 (MO). The NPI Number for JEAN BROWN (FNP) is 1649399031

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JEAN BROWN (FNP)
NPI
1649399031
Phone
(573) 624-7788
Address
1300 N ONE MILE RD
Enumeration Date
28 March 2007
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
3971828773
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20150219002187
Address ID
MO637035049CA24XXXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for JEAN BROWN (FNP)

  • 1300 N ONE MILE RD

    SUITE 1

    DEXTER, MO 638411042

    Phone: (573) 624-7788

    Type: Mailing

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

  • 225 PHYSICIANS PARK STE 400

    POPLAR BLUFF, MO 639013923

    Phone: (573) 727-5500

    Fax: (573) 727-5599

    Type: Location

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: 2015-02-19

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
I20150219002187INurse PractitionerMOTBD

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 63841)

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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: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

What unique ID ties claims to JEAN BROWN (FNP)?
NPI 1649399031 is assigned to JEAN BROWN (FNP) under the national enumeration system.
Is JEAN BROWN (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JEAN BROWN (FNP) treat or focus on?
Patients typically see JEAN BROWN (FNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JEAN BROWN (FNP)?
The snapshot lists Dexter, Missouri for JEAN BROWN (FNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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