Organization Active NPI

Sunrise Healthcare, LLC

  • Adult Health Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1487094223
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
SUNRISE HEALTHCARE, LLC
Practice address
1171 West Tipton St
Suite E
Seymour, IN 47274-2793
Phone
(812) 405-2125
Fax
(812) 405-2425
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Diana Brackin, NPNPI 1972578474
Title
Manager
Phone
(812) 405-2125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1171 West Tipton St
Suite E
Seymour, IN 47274-2793

Mailing address

410 S Chestnut St
Seymour, IN 47274-2370
Phone (812) 405-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000982 IN Part B Supplier - Clinic/Group Practice 8921241662 Receives reassigned benefits from 4 practitioners
Practice locations: Seymour, IN

National Provider Directory

National Provider Directory

Locations

1171 W Tipton St
Ste E
Seymour, IN 47274
Phone (812) 405-2125

410 S Chestnut St
Seymour, IN 47274
Phone (812) 405-2125

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1487094223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742370",
            "telephone_number": "812-405-2125",
            "fax_number": "812-405-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 WEST TIPTON ST",
            "address_2": "SUITE E",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742793",
            "telephone_number": "812-405-2125",
            "fax_number": "812-405-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "BRACKIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-405-2125",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.