JACOB BROWN, MHPP — NPI 1124315122 (Licensed & Credentialed Case Manager/Care Coordinator in HOPE, AR)

CMS-1500 Box 24J / 33a • NPI

1124315122

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

1420 S MAIN ST, HOPE, AR, 71801-7243

✓ 9-Digit EDI 837 ZIP+4 (71801-7243)

Practice Phone & Referral Fax

(870) 887-9000

Fax: (870) 887-9001

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124315122 (JACOB BROWN, MHPP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124315122` (NPI-1 Individual Practitioner)
Provider / Legal Name	JACOB BROWN, MHPP
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1420 S MAIN ST, HOPE, AR, 71801-7243
Practice Telephone / Fax	Tel: (870) 887-9000 \| Fax: (870) 887-9001
Administrative Mailing Address	829 HALBERT ST, MALVERN, AR, 72104-2607
Enumeration & Last Sync	Enumerated: 2011-06-29 \| CMS Record Updated: 2022-06-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1420 S MAIN ST, HOPE, AR, 71801-7243

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACOB BROWN, MHPP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JACOB BROWN, MHPP (NPI #1124315122)