TONYA L BROWN APRN-NP
NPI 1124492418
Nurse Practitioner in Louisville, KY

Active since November 24, 2015PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
6420 DUTCHMANS PKWY STE 375, LOUISVILLE, KY 40205(502) 588-7010 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2021, Feb 6, 2017, Nov 24, 2015 (3 updates tracked since 2015).

About Tonya L Brown Aprn-np NPPES

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

TONYA L BROWN APRN-NP (NPI 1124492418) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3009864) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124492418
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONYA L BROWNCredential: APRN-NP
Location Address6420 DUTCHMANS PKWY STE 375Louisville, KY 40205-3355
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 581-1951 · Fax (502) 540-5137
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 24, 2015
Last NPPES UpdateFebruary 18, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1124492418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3009864
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6420 DUTCHMANS PKWY STE 375, Louisville, KY 40205

Other Identifiers 2

Medicaid201413390IN
Medicaid7100417750KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tonya L Brown Aprn-np 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 ID5698067213
PECOS Enrollment IDI20160630000130
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.

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.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$58.10 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tonya Brown's NPI number?

The NPI number for Tonya Brown is 1124492418. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Tonya Brown located?

Tonya Brown practices at 6420 Dutchmans Pkwy Ste 375, Louisville, KY 40205. The listed phone number is (502) 588-7010.

What is Tonya Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tonya Brown enrolled in Medicare?

Yes. Tonya 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.

What insurance does Tonya Brown accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Tonya 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 Tonya Brown was last updated on February 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.