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SHANTA NICOLE BROWN NP
NPI 1124679188
Nurse Practitioner - Primary Care in Brownstown, MI

Active since September 21, 2019PECOS Enrolled
24438 MANCHESTER DR, BROWNSTOWN, MI 48134(313) 247-4020 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2023, Oct 26, 2019, Sep 21, 2019 (3 updates tracked since 2019).

About Shanta Nicole Brown Np NPPES

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

SHANTA NICOLE BROWN NP (NPI 1124679188) is an individual primary care provider in Brownstown, Michigan, licensed in Michigan (4704261362) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1124679188
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHANTA NICOLE BROWNCredential: NP
Location Address24438 MANCHESTER DRBrownstown, MI 48134-1888
Mailing Address24438 Manchester DrBrownstown, MI 48134-1888 · (248) 252-9730
Phone(313) 247-4020
Sole ProprietorYes
Enumeration DateSeptember 21, 2019
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1124679188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MI · 4704261362
24438 MANCHESTER DR, Brownstown, MI 48134
Open in Google Maps ↗

Secondary Practice Location 1

Location 120905 Greenfield Rd Ste 303Southfield, MI 48075-5347 · Phone (248) 450-3177

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanta Nicole Brown Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48134 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES

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

BROWN & BROWN CONSULTATION CENTER LLC
Nurse Practitioner (Psychiatric/Mental Health)
24438 MANCHESTER DR
BROWNSTOWN, MI 48134
Wayne County (248) 252-9730

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 Shanta Brown's NPI number?

The NPI number for Shanta Brown is 1124679188. It was assigned to this individual provider in the NPPES registry on September 21, 2019.

Where is Shanta Brown located?

Shanta Brown practices at 24438 Manchester Dr, Brownstown, MI 48134. The listed phone number is (313) 247-4020.

What is Shanta Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Shanta Brown enrolled in Medicare?

Yes. Shanta Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shanta Brown was last updated on August 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.