NORDIAN SHANAE BROWN
NPI 1720624372
Nurse Practitioner - Primary Care in Hollywood, FL
About Nordian Shanae Brown NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORDIAN SHANAE BROWN (NPI 1720624372) is an individual primary care provider in Hollywood, Florida, licensed in Florida (APRN110045) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nordian Shanae Brown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nordian Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32216
- Reassigned Medicare billing, Florida enrollment
- 43 clinicians in this Medicare group
Southlake, TX 76092
- Reassigned Medicare billing, Florida enrollment
- 11 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 6
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 33021 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.
HOLLYWOOD, FL 33021
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 Nordian Brown's NPI number?
The NPI number for Nordian Brown is 1720624372. It was assigned to this individual provider in the NPPES registry on November 19, 2019.
Where is Nordian Brown located?
Nordian Brown practices at 200 S Park Rd Ste 200, Hollywood, FL 33021. The listed phone number is (850) 567-7993.
What is Nordian Brown's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Nordian Brown enrolled in Medicare?
Yes. Nordian Brown is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nordian Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nordian Brown reassigns Medicare benefits to 2 organizations: Renew Wound Care Of Florida LLC (Jacksonville, FL) and Global Open Wound Care PLLC (Southlake, TX). Each 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 Nordian 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 Nordian Brown was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nordian Shanae Brown · NPI 1720624372
Primary Care physician in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since November 19, 2019.
## Identity
- **NPI:** 1720624372 (Entity type: Individual)
- **Enumerated:** November 19, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** APRN110045 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 S PARK RD STE 200, Hollywood, FL 33021-8541
- **Phone:** (850) 567-7993
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Renew Wound Care Of Florida LLC (NPI 1811631591, Jacksonville, FL); Global Open Wound Care PLLC (NPI 1720701659, Southlake, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1720624372) · Data from the CMS NPPES public registry.