Individual provider Active NPI

Brianna Brooke Puckett, FNP-BC

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1497556245
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024192971 Issued in VA
Practice address
384 S Pantops Dr
Charlottesville, VA 22911-8678
Phone
(607) 725-0980
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 0024192971 VA Primary

Addresses

Primary practice location

384 S Pantops Dr
Charlottesville, VA 22911-8678

Mailing address

2123 Kings Walk Dr NE
Roanoke, VA 24012-6405
Phone (304) 952-5271

Other practice location 1

184 Wind Chime Ct
Raleigh, NC 27615-6484
Phone (919) 301-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250415003816 VA Practitioner - Nurse Practitioner 9638694367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Healing,LLCGroup PAC ID 3870837974, 8 clinicians

Practice addresses (Care Compare)

384 S Pantops Dr
Charlottesville, VA 22911-8678
Phone (607) 725-0948

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Healing,LLC Family CurrentSince Mar 21, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1497556245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 KINGS WALK DR NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126405",
            "telephone_number": "304-952-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 S PANTOPS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118678",
            "telephone_number": "607-725-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Wind Chime Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156484",
            "country_code": "US",
            "telephone_number": "919-301-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "BRIANNA",
        "middle_name": "BROOKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.