Individual provider Active NPI

Diana Braun, NP

  • Family Nurse Practitioner
  • North Judson, IN
National Provider Identifier
1215525100
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010731A Issued in IN
Practice address
414 Lane St
North Judson, IN 46366-1226
Phone
(574) 896-4325
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010731A IN Primary

Addresses

Primary practice location

414 Lane St
North Judson, IN 46366-1226

Mailing address

PO Box 279
Winamac, IN 46996-0279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20210114001243 IN Practitioner - Nurse Practitioner 2264682590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulaski Memorial HospitalGroup PAC ID 3173515509, 45 clinicians

Practice addresses (Care Compare)

414 Lane St
North Judson, IN 46366-1226
Phone (574) 896-4325

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010731AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Memorial Hospital CurrentSince Jan 18, 2021 Accepting new patients
Pulaski Memorial Hospital CurrentSince Jan 18, 2021 Accepting new patients

Locations

414 Lane St
North Judson, IN 46366
Phone (574) 896-2257

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1215525100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469960279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LANE ST",
            "city": "NORTH JUDSON",
            "state": "IN",
            "postal_code": "463661226",
            "telephone_number": "574-896-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "DIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010731A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Judson, IN

Sources for this page

Verify at the official NPI Registry.