REGINA BROWN NP
NPI 1164018370
Nurse Practitioner - Family in Bourbonnais, IL

Active since December 12, 2020PECOS EnrolledAccepts Medicare Assignment
2070 N STATE ROUTE 50 STE 500, BOURBONNAIS, IL 60914(779) 262-0483 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Dec 12, 2020 (2 updates tracked since 2020).

About Regina Brown Np NPPES

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

REGINA BROWN NP (NPI 1164018370) is an individual family provider in Bourbonnais, Illinois, licensed in Illinois (209022382) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and maintains a secondary practice location in Manteno.

NPPES Registry Identity

NPI1164018370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREGINA BROWNCredential: NP
Location Address2070 N STATE ROUTE 50 STE 500Bourbonnais, IL 60914-5507
Mailing Address1 Veterans DrManteno, IL 60950-9466
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 12, 2020
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
NPI 1164018370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209022382
2070 N STATE ROUTE 50 STE 500, Bourbonnais, IL 60914

Secondary Practice Location 1

Location 11 Veterans DrManteno, IL 60950-9466 · Phone (815) 549-5333

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

Regina Brown 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 ID2365844933
PECOS Enrollment IDI20210706002563
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Nurse Practitioner (Family)
2070 N STATE ROUTE 50 STE 500
BOURBONNAIS, IL 60914

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 Regina Brown's NPI number?

The NPI number for Regina Brown is 1164018370. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Where is Regina Brown located?

Regina Brown practices at 2070 N State Route 50 Ste 500, Bourbonnais, IL 60914. The listed phone number is (779) 262-0483.

What is Regina Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Regina Brown enrolled in Medicare?

Yes. Regina 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.

Is Regina Brown affiliated with any hospitals?

According to CMS data, Regina Brown is affiliated with Presence St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Regina Brown was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.