MICHELLE WALTZ BROWN PPCNP-BC
NPI 1194005199
Nurse Practitioner - Pediatrics in Jacksonville, FL

Q: What is Michelle Brown's NPI number?

The NPI number for Michelle Brown is 1194005199. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Q: What is Michelle Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Brown was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2011PECOS Enrolled

841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Apr 14, 2023, Oct 14, 2021 and 2 more (5 updates tracked since 2019).

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About Michelle Waltz Brown Ppcnp-bc NPPES

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

MICHELLE WALTZ BROWN PPCNP-BC (NPI 1194005199) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (APRN11012933) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194005199

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMICHELLE WALTZ BROWNCredential: PPCNP-BC

Location Address841 PRUDENTIAL DR STE 280Jacksonville, FL 32207-8350

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100 · Fax (904) 697-5102

Phone(904) 202-8550

Fax(904) 393-7808

Sole ProprietorNo

Enumeration DateAugust 22, 2011

Last NPPES UpdateOctober 30, 20255 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1194005199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11012933

841 PRUDENTIAL DR STE 280, Jacksonville, FL 32207

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Other Identifiers 2

Medicaid1194005199VA

Medicaid7005620NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Waltz Brown Ppcnp-bc 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 32207 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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Other Providers at the Same Location NPPES 20

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

SARA E MENDOZA CRESPO MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)