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MR. BROWN EHIS
NPI 1912628371
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Matteson, IL

Active since September 06, 2022PECOS Enrolled
6006 COLGATE LN, MATTESON, IL 60443(773) 716-6869 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Brown Ehis NPPES

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

MR. BROWN EHIS (NPI 1912628371) is an individual psychiatric/mental health, child & family provider in Matteson, Illinois, licensed in Illinois (209025914) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912628371
Entity TypeIndividualMale
Primary Taxonomy364SP0810X
Provider Legal NameMR. BROWN EHIS
Location Address6006 COLGATE LNMatteson, IL 60443-1995
Mailing Address6006 Colgate LnMatteson, IL 60443-1995
Phone(773) 716-6869
Sole ProprietorYes
Enumeration DateSeptember 6, 2022
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 22, 2023
✔ NPI 1912628371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0810X
License✔ Licensed in IL · 209025914
6006 COLGATE LN, Matteson, IL 60443
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brown Ehis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Brown Ehis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Association For Individual Development
35 mi
Mental Health (Including Community Mental Health Center)
309 W. NEW INDIAN TRAIL CT
Aurora, IL 60506
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1821151119 (630) 966-4000

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 60443 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 2

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

DANEBELL O EHIS
Nurse Practitioner (Family)
6006 COLGATE LN
MATTESON, IL 60443
Cook County (708) 323-7866
ADVANTAGE HOME NURSING INC
Home Health
6006 COLGATE LN
MATTESON, IL 60443
Cook County (708) 323-7866

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 Brown Ehis's NPI number?

The NPI number for Brown Ehis is 1912628371. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Brown Ehis located?

Brown Ehis practices at 6006 Colgate Ln, Matteson, IL 60443. The listed phone number is (773) 716-6869.

What is Brown Ehis's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

Is Brown Ehis enrolled in Medicare?

Yes. Brown Ehis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brown Ehis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brown Ehis reassigns Medicare benefits to Association For Individual Development (Aurora, 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 Brown Ehis'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 Brown Ehis was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.