THERESA A. BROWN MSN, CRNP
NPI 1023268141
Nurse Practitioner - Family in Yardley, PA
About Theresa A. Brown Msn, Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA A. BROWN MSN, CRNP (NPI 1023268141) is an individual family provider in Yardley, Pennsylvania, licensed in Pennsylvania (SP-006720-B) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Theresa A. Brown Msn, Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Trenton, NJ 08638
- Reassigned Medicare billing, Pennsylvania enrollment
- 186 clinicians in this Medicare group
Phila, PA 19152
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theresa Brown's NPI number?
The NPI number for Theresa Brown is 1023268141. It was assigned to this individual provider in the NPPES registry on September 25, 2008.
Where is Theresa Brown located?
Theresa Brown practices at 1050 Stony Hill Rd, Yardley, PA 19067. The listed phone number is (609) 303-4360.
What is Theresa Brown's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Brown enrolled in Medicare?
Yes. Theresa 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 Theresa Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Brown reassigns Medicare benefits to 2 organizations: Capital Health Medical Group (Trenton, NJ) and Arthritis Group PC (Phila, PA). 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 Theresa Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Brown accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Theresa 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.
Is Theresa Brown affiliated with any hospitals?
According to CMS data, Theresa Brown is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Theresa Brown was last updated on July 11, 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.
# Theresa A. Brown, MSN, CRNP · NPI 1023268141
Family physician in Yardley, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 25, 2008.
## Identity
- **NPI:** 1023268141 (Entity type: Individual)
- **Enumerated:** September 25, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP-006720-B (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1050 STONY HILL RD, Yardley, PA 19067-5500
- **Phone:** (609) 303-4360
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Capital Health Medical Group (NPI 1437516887, Trenton, NJ); Arthritis Group PC (NPI 1700823838, Phila, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023268141) · Data from the CMS NPPES public registry.