SUSAN O'CONNOR BROWN
NPI 1720739394
Psychologist - Clinical in Ponte Vedra Beach, FL
About Susan O'connor Brown NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN O'CONNOR BROWN (NPI 1720739394) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Pennsylvania (PS008999L) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Susan O'connor Brown 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.
San Francisco, CA 94131
- Reassigned Medicare billing, Florida enrollment
- 130 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 32082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 1720739394. It was assigned to this individual provider in the NPPES registry on January 14, 2022.
Where is Susan Brown located?
Susan Brown practices at 168 Coastal Oak Cir, Ponte Vedra Beach, FL 32082. The listed phone number is (610) 639-4554.
What is Susan Brown's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
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 Brightside Health, Inc. (San Francisco, CA). 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.
What insurance does Susan Brown accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Susan Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Susan Brown was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Susan O'connor Brown · NPI 1720739394
Clinical provider in Ponte Vedra Beach, Florida. Individual provider, active in the CMS NPPES registry since January 14, 2022.
## Identity
- **NPI:** 1720739394 (Entity type: Individual)
- **Enumerated:** January 14, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS008999L (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 168 COASTAL OAK CIR, Ponte Vedra Beach, FL 32082-2702
- **Phone:** (610) 639-4554
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Health, Inc. (NPI 1073072658, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720739394) · Data from the CMS NPPES public registry.