KELLEEN BROWN APRN
NPI 1205191483
Clinical Nurse Specialist - Adult Health in Provo, UT
About Kelleen Brown Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEEN BROWN APRN (NPI 1205191483) is an individual adult health provider in Provo, Utah, licensed in Utah (214043-4405) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelleen Brown Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelleen Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1174039614 (Utah)
- 1,729 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelleen Brown's NPI number?
The NPI number for Kelleen Brown is 1205191483. It was assigned to this individual provider in the NPPES registry on July 12, 2012.
Where is Kelleen Brown located?
Kelleen Brown practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7740.
What is Kelleen Brown's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.
Is Kelleen Brown enrolled in Medicare?
Yes. Kelleen Brown is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelleen Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelleen Brown reassigns Medicare benefits to Ihc Health Services, Inc. (Provo, UT). The 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 Kelleen Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelleen Brown was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Kelleen Brown, APRN · NPI 1205191483
Adult Health physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since July 12, 2012.
## Identity
- **NPI:** 1205191483 (Entity type: Individual)
- **Enumerated:** July 12, 2012
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **State license:** 214043-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1034 N 500 W, Provo, UT 84604-3380
- **Phone:** (801) 357-7740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services, Inc. (NPI 1114025491, Provo, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1205191483) · Data from the CMS NPPES public registry.