MICHELLE BROWN AGNP-C
NPI 1790153005
Nurse Practitioner - Gerontology in New Hyde Park, NY

Q: What is Michelle Brown's NPI number?

The NPI number for Michelle Brown is 1790153005. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Q: What is Michelle Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Brown was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 03, 2015PECOS Enrolled

3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042(855) 201-4988 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Feb 6, 2020 (2 updates tracked since 2020).

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About Michelle Brown Agnp-c NPPES

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

MICHELLE BROWN AGNP-C (NPI 1790153005) is an individual gerontology provider in New Hyde Park, New York, licensed in New York (308515) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Covington, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790153005

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMICHELLE BROWNCredential: AGNP-C

Location Address3000 MARCUS AVE STE 2W15New Hyde Park, NY 11042-1005

Mailing Address616 Fm 1960 Rd W, Ste 230Houston, TX 77090-3024 · (877) 749-7428 · Fax (512) 628-3314

Phone(855) 201-4988

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 3, 2015

Last NPPES UpdateApril 2, 20252 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1790153005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in NY · 308515✔ Licensed in GA · RN182422

3000 MARCUS AVE STE 2W15, New Hyde Park, NY 11042

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Secondary Practice Location 1

Location 170 Homestead WayCovington, GA 30014-7608 · Phone (845) 591-2799

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Brown Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153610449

PECOS Enrollment IDI20200305001167

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

MISS CASSANDRA NICHOLE ANDERSON FNP

Nurse Practitioner (Family)