Diana Louise Brackin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001567A Issued in IN

Practice address

600 S Jackson Park Dr
Seymour, IN 47274-2626

Phone

(812) 519-2963

Fax

(812) 519-3515

NPI assigned

Feb 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Healthcare, LLCGroup PAC ID 8921241662, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sunrisehealthcare.dianabrackin@161255.advancedmd-direct.com

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.

• Sunrise Healthcare, LLC

  • Adult Health Nurse Practitioner
  • Seymour, IN
  • NPI 1487094223
  Medicare reassignment Care Compare group NPD Authorized official
• Health Centered Chiropractic

  • Chiropractor
  • Scottsburg, IN
  • NPI 1437224680
  NPD (past)
• Health Centered of Scottsburg, Inc

  • Chiropractor
  • Scottsburg, IN
  • NPI 1023344595
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Pain Management Center of Southern Indiana

  • Pain Medicine Physician
  • New Albany, IN
  • NPI 1720222862
  NPD (past)
• Pain Management Center of Southern Indiana, Inc.

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1629063797
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1972578474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S JACKSON PARK DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742626",
            "telephone_number": "812-519-2963",
            "fax_number": "812-519-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S JACKSON PARK DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742626",
            "telephone_number": "812-519-2963",
            "fax_number": "812-519-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKIN",
        "first_name": "DIANA",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001567A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001567A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200537140",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000652123",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra I Bonet Quiles
• Samuel C Borcherding, MD
• Matthew Bourquein, PHARMD
• Dana Kay Bowling, LMHC
• Peggy Jo Bowman, L.C.S.W
• M Kathleen Bradley, PD
• Amy Lynne Braman, MPT
• Olga Briones-Pacheco
• Mindy Brock, NP
• Clifford W Brooks III, M.D.

• Family Nurse Practitioner in Seymour, IN
• Providers in Seymour, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.