Erica Brackin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5505 Issued in AZ

Practice address

10238 E Hampton Ave Ste 501
Mesa, AZ 85209

Phone

(480) 889-1573

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Erica Balliet Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Heart Rhythm Specialists

  • Clinical Cardiac Electrophysiology Physician
  • Chandler, AZ
  • NPI 1063922094
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1184042434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093321",
            "telephone_number": "480-889-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-889-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKIN",
        "first_name": "ERICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BALLIET",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Bozicevic, DC
• BP Warriors
• Bplarrabee Incorporated
• Braces R US
• Debbie Lisa Brachman, FNP, MSN, RN
• Brad D. Justesen D.D.S., P.C.
• Casey Brown Bradford, MA, BCBA, LBA
• Chauncey Bradford
• Cassie R Bradley, D.C.
• Amanda L. Bradshaw, M.S., CCC-SLP

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.