Lori Ann Brackett, MSN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11016504 Issued in FL

Practice address

14551 Hope Center Loop Ste 200
Fort Myers, FL 33912-4705

Phone

(239) 264-7026

Fax

(239) 567-3679

NPI assigned

Nov 9, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Infusions LLC 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, 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.

• Innovative Infusions, LLC.

  • Infusion Therapy Clinic/Center
  • Fort Myers, FL
  • NPI 1699428490

  FL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Norwood, OH
  • NPI 1467206110

  Nurse Practitioner, OH

  Medicare reassignment Care Compare group NPD
• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  FL, Nurse Practitioner

  Medicare reassignment NPD
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1093512246

  Nurse Practitioner

  Care Compare group NPD
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Independence, MO
  • NPI 1053034983
  Care Compare group
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Denver, CO
  • NPI 1437882081
  Care Compare group
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Montgomery, AL
  • NPI 1629791157
  Care Compare group
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811299944
  Care Compare group

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1639835291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-264-7026",
            "fax_number": "239-567-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112982900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Baker Boyette, MD
• Mariya Bozhenok, PA-C
• Hal Leslie Bozof, D.P.M.
• Brian Wayne Bozza, M.D.
• Brian Paul Bracher, RN
• Kelly A Braden, PT
• Bradford J. Yaeger, P.a.
• Cynthia Theresa Bradford, APRN
• Bradley M. Woodham, D.M.D., P.a.
• Bradley P Dilling, DMD, PA

• All providers in Fort Myers, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.