MS. JO ANN BROWN (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104804723
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. JO ANN BROWN (NURSE PRACTITIONER)
Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45422, United States
SAMARITAN BEHAVIORAL HEALTH, INC.
DAYTON, OH 454173424
Phone: (937) 734-8333
Fax: (937) 734-4343
Type: Location
4539 N 22nd St Ste R
Phoenix, AZ 850164639
Phone: (440) 230-6168
Type: Location
6809 MAIN ST
CINCINNATI, OH 452443470
Phone: (440) 230-6168
Type: Mailing
Edwin C. Moses Boulevard, Central Avenue Historic District, Dayton, Montgomery County, Ohio, 45422, United States
SAMARITAN BEHAVIORAL HEALTH, INC.
DAYTON, OH 454173424
Phone: (937) 734-8333
Fax: (937) 734-4343
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-01-28 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $14 |
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: 2003-12-08
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 |
|---|---|---|---|---|
| I20031208000216 | I | Nurse Practitioner | OH | 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 45417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH |
Reviews
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