Mitchell Garrett Brown, FNP
NPI 1407456668ActiveIndividual· Nurse Practitioner, Family· Eagle, ID
Nurse Practitioner, Family (FNP) with St Lukes Clinic-Treasure Valley LLC, practicing in Eagle, Idaho. 457 Medicare patients in 2024, $20,397 paid; nearly all of their 846 Part D prescriptions were generic (93%). Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1407456668 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 27, 2020 |
| Last updated in NPPES | Aug 4, 2023 |
| Certified by provider | Aug 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 77052 | ID |
| Nurse Practitioner, Family | 363LF0000X | 248862 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 457 |
|---|---|
| Services billed | 526 across 20 procedure codes |
| Paid by Medicare | $20,397 |
Part D prescriptions in 2024
| Prescriptions (claims) | 846 · 857 30-day fills |
|---|---|
| Patients | 594 |
| Total drug cost | $9,440 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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