MRS. SUSAN MARY BROWN RD
NPI 1720095961
Dietitian, Registered in Champaign, IL
About Mrs. Susan Mary Brown Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN MARY BROWN RD (NPI 1720095961) is an individual dietitian, registered in Champaign, Illinois, licensed in Illinois (164003513) and active in the NPI registry since August 2006. She is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Susan Mary Brown Rd 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61821 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
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 Susan Brown's NPI number?
The NPI number for Susan Brown is 1720095961. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Susan Brown located?
Susan Brown practices at 1813 W Kirby Ave, Champaign, IL 61821. The listed phone number is (217) 384-3490.
What is Susan Brown's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Susan Brown enrolled in Medicare?
Yes. Susan 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.
Which organization bills Medicare for Susan Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Brown reassigns Medicare benefits to Carle Health Medical Group (Urbana, IL). 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 Susan 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 Susan Brown was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Susan Mary Brown, RD · NPI 1720095961
Dietitian, Registered provider in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1720095961 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 164003513 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1813 W KIRBY AVE, Champaign, IL 61821-5410
- **Phone:** (217) 384-3490 · **Fax:** (217) 383-3439
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Carle Health Medical Group (NPI 1154653947, Urbana, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** December 26, 2014
- **Other identifiers:** Medicare NSC 6447860004 (IL); Medicare PIN IL3270326 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1720095961) · Data from the CMS NPPES public registry.