ELIZABETH EDEN BROWN FNP-C
NPI 1639901010
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Elizabeth Brown's NPI number?

The NPI number for Elizabeth Brown is 1639901010. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Q: What is Elizabeth Brown's specialty?

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

Q: Is Elizabeth Brown enrolled in Medicare?

No. Elizabeth Brown has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Brown was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2024Opted out of Medicare · through Jan 12, 2028

4927 BYERS AVE, FORT WORTH, TX 76107(817) 720-6220 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Elizabeth Eden Brown Fnp-c NPPES

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

ELIZABETH EDEN BROWN FNP-C (NPI 1639901010) is an individual family provider in Fort Worth, Texas, licensed in Texas (1170628) and active in the NPI registry since August 2024. She has opted out of Medicare through January 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639901010

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH EDEN BROWNCredential: FNP-C

Location Address4927 BYERS AVEFort Worth, TX 76107-4148

Mailing Address2841 Willing AveFort Worth, TX 76110-3037 · (469) 658-9244

Phone(817) 720-6220

Sole ProprietorNo

Enumeration DateAugust 15, 2024

NPPES CertifiedAugust 15, 2024

✔ NPI 1639901010 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 TX · 1170628

4927 BYERS AVE, Fort Worth, TX 76107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Elizabeth Eden Brown Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 12, 2026 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2026

Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 5

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

DALTON WELLNESS CONSULTING, INC.

Clinic/Center (Physical Therapy)