MRS. DAWN RENAE BROCKETT
NPI 1154786614
Nurse Practitioner - Family in Salem, OR

Active since December 28, 2015PECOS EnrolledAccepts Medicare Assignment
1535 LIBERTY ST SE, SALEM, OR 97302(866) 972-0235 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Dec 20, 2022, Feb 1, 2016 and 1 more (4 updates tracked since 2015).

About Mrs. Dawn Renae Brockett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DAWN RENAE BROCKETT (NPI 1154786614) is an individual family provider in Salem, Oregon, licensed in Oregon (201805045NP-PP) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mankato, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154786614
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DAWN RENAE BROCKETT
Location Address1535 LIBERTY ST SESalem, OR 97302-4345
Mailing Address2459 Se Tualatin Valley Hwy # 416Hillsboro, OR 97123-7919
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 28, 2015
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1154786614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 201805045NP-PP✔ Licensed in MN · 4332✔ Licensed in IA · A156551
1535 LIBERTY ST SE, Salem, OR 97302

Other Names 1

Former Name (1)Dawn Renae Smail Fnp-c

Secondary Practice Location 1

Location 1101 Martin Luther King DrMankato, MN 56001-6460 · Phone (507) 385-6500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Dawn Renae Brockett is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385941947
PECOS Enrollment IDI20160324001903, I20200205002840, I20230126002685
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Dawn Brockett reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
966 12TH ST SE STE 110
Salem, OR 97302
  • Reassigned Medicare billing, Oregon enrollment
  • 31 clinicians in this Medicare group
Family Medicine
923 NW 14TH AVE
Portland, OR 97209
  • Reassigned Medicare billing, Oregon enrollment
  • 50 clinicians in this Medicare group
Internal Medicine
11120 NE 33RD PL STE 202
Bellevue, WA 98004
  • Reassigned Medicare billing, Oregon enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
5123 W 98TH ST STE 2082
Minneapolis, MN 55437
  • Reassigned Medicare billing, Minnesota enrollment
  • 90 clinicians in this Medicare group
Internal Medicine
5123 W 98TH ST STE 2082
Minneapolis, MN 55437
  • Reassigned Medicare billing, Minnesota enrollment
  • 93 clinicians in this Medicare group
Internal Medicine
444 N WEST VIEW DR
Osceola, IA 50213
  • Reassigned Medicare billing, Iowa enrollment
  • 204 clinicians in this Medicare group
Internal Medicine
444 N WEST VIEW DR
Osceola, IA 50213
  • Reassigned Medicare billing, Iowa enrollment
  • 217 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Interpreter
1535 LIBERTY ST SE
SALEM, OR 97302
Community Health Worker
1535 LIBERTY ST SE
SALEM, OR 97302
Surgery (Vascular Surgery)
1535 LIBERTY ST SE
SALEM, OR 97302
Interpreter
1535 LIBERTY ST SE
SALEM, OR 97302
Community Health Worker
1535 LIBERTY ST SE
SALEM, OR 97302
Surgery (Vascular Surgery)
1535 LIBERTY ST SE
SALEM, OR 97302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn Brockett's NPI number?

The NPI number for Dawn Brockett is 1154786614. It was assigned to this individual provider in the NPPES registry on December 28, 2015. The provider is also known as Dawn Renae Smail Fnp-C.

Where is Dawn Brockett located?

Dawn Brockett practices at 1535 Liberty St SE, Salem, OR 97302. The listed phone number is (866) 972-0235.

What is Dawn Brockett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dawn Brockett enrolled in Medicare?

Yes. Dawn Brockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dawn Brockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Brockett reassigns Medicare benefits to 7 organizations: P3 Medical Group PC (Salem, OR), Clinicops, LLC (Portland, OR), Seva Medical, PLLC (Bellevue, WA), Ch Specialty Services Mn PC (Minneapolis, MN), Curana Health Of Minnesota PLLC (Minneapolis, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dawn Brockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Brockett accept?

Health plans from Moda Health Plan, Inc. and Wellmark Health Plan of Iowa, Inc. list Dawn Brockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dawn Brockett was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.