MRS. SAMANTHA JO BROWN (FNP) – Family Nurse Practitioner, NPI 1770707523

MRS. SAMANTHA JO BROWN (FNP) is a healthcare provider. based in Fairfax, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. A111977 (IA). The NPI Number for MRS. SAMANTHA JO BROWN (FNP) is 1770707523

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA JO BROWN (FNP)
NPI
1770707523
Phone
(660) 686-2211
Address
26136 US HIGHWAY 59
Enumeration Date
12 April 2007
Last Update Date
30 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
6002913605
Group Practice PAC ID
8921917352
Professional Enrollment ID
I20171030000926
Address ID
MO644682655MA2016XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MRS. SAMANTHA JO BROWN (FNP)

  • 26136 US HIGHWAY 59

    FAIRFAX, MO 644469635

    Phone: (660) 686-2211

    Mailing address matches the actual address.

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: 2007-05-16

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
I20070516000069INurse 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 64446)

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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: 8921917352View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
-MO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
P S Y C H I A T R YKS
Cardiovascular Disease (Cardiology), Internal MedicineAR

Reviews

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Frequently asked questions

Does MRS. SAMANTHA JO BROWN (FNP) have a public NPI I can cite?
Public records show MRS. SAMANTHA JO BROWN (FNP) under NPI 1770707523.
Is MRS. SAMANTHA JO BROWN (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. SAMANTHA JO BROWN (FNP) as active.
What type of care does MRS. SAMANTHA JO BROWN (FNP) provide?
MRS. SAMANTHA JO BROWN (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. SAMANTHA JO BROWN (FNP) in Fairfax, Missouri?
For routing, start with Fairfax, Missouri for MRS. SAMANTHA JO BROWN (FNP), then verify phone and hours locally.
Why is information missing for MRS. SAMANTHA JO BROWN (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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