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JAMES BROWN DNP
NPI 1013365378
Nurse Practitioner - Psychiatric/Mental Health in Valparaiso, IN

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
82.31/100
CMS Quality Rating
80 FOXWOOD CT, VALPARAISO, IN 46385(219) 241-5526(219) 777-9992 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Apr 29, 2022, Apr 22, 2022 (3 updates tracked since 2022).

About James Brown Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES BROWN DNP (NPI 1013365378) is an individual psychiatric/mental health provider in Valparaiso, Indiana, licensed in Indiana (71005977A) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013365378
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAMES BROWNCredential: DNP
Location Address80 FOXWOOD CTValparaiso, IN 46385-8949
Mailing Address80 Foxwood CtValparaiso, IN 46385-8949 · (219) 241-5526 · Fax (219) 777-9992
Phone(219) 241-5526
Fax(219) 777-9992
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 27, 2016
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1013365378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71005977A
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71005977A (IN)
80 FOXWOOD CT, Valparaiso, IN 46385
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Brown Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284924812
PECOS Enrollment IDI20160609001074
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James Brown Psychiatry, LLC
Same address
Psychiatric/Mental Health
80 FOXWOOD CT
Valparaiso, IN 46385
  • Reassigned Medicare billing, Indiana enrollment
NPI 1790648376 (219) 241-5526
Ketamine Is Hope LLC
48 mi
Nurse Anesthetist, Certified Registered
300 S SAINT LOUIS BLVD STE 103
South Bend, IN 46617
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1144151564 (574) 544-2283

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,843 services218 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
841 services143 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.88
Promoting Interoperability100
Improvement Activities40
Cost47.82

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES BROWN PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
80 FOXWOOD CT
VALPARAISO, IN 46385
Porter County (219) 241-5526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Brown's NPI number?

The NPI number for James Brown is 1013365378. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is James Brown located?

James Brown practices at 80 Foxwood Ct, Valparaiso, IN 46385. The listed phone number is (219) 241-5526.

What is James Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is James Brown enrolled in Medicare?

Yes. James Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Brown reassigns Medicare benefits to 2 organizations: James Brown Psychiatry, LLC (Valparaiso, IN) and Ketamine Is Hope LLC (South Bend, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Brown accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and UnitedHealthcare list James Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Brown was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.