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MR. CALEB THOMAS BRACKIN FNP
NPI 1386119188
Nurse Practitioner - Family in Los Angeles, CA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
1300 N LA BREA AVE, LOS ANGELES, CA 90028(323) 464-1336(323) 464-2163 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Jul 20, 2020, Oct 8, 2018 (3 updates tracked since 2018).

About Mr. Caleb Thomas Brackin Fnp NPPES

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

MR. CALEB THOMAS BRACKIN FNP (NPI 1386119188) is an individual family provider in Los Angeles, California, licensed in California (NP95019522) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386119188
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CALEB THOMAS BRACKINCredential: FNP
Location Address1300 N LA BREA AVELos Angeles, CA 90028-7504
Mailing Address1300 N La Brea AveLos Angeles, CA 90028-7504 · (323) 464-1336 · Fax (323) 464-2163
Phone(323) 464-1336
Fax(323) 464-2163
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1386119188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · NP95019522✔ Licensed in NY · F345890
Also ListedNurse PractitionerTaxonomy 363L00000X · License 24889 (TN)
1300 N LA BREA AVE, Los Angeles, CA 90028
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Caleb Thomas Brackin Fnp 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 ID1052653169
PECOS Enrollment IDI20220216002839
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.

Areas of Expertise CMS Part B claims 7

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
49 services25 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
43 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
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.
29 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

DR. GORDON E VAN TASSELL DO
Family Medicine
1300 N LA BREA AVE
HOLLYWOOD, CA 90028
Los Angeles County (323) 464-1336
WEST HOLLYWOOD URGENT CARE
Clinic/Center (Urgent Care)
1300 N LA BREA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 464-1336
CITIZENS MEDICAL GROUP
Family Medicine
1300 N LA BREA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 464-1336

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 Caleb Brackin's NPI number?

The NPI number for Caleb Brackin is 1386119188. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Caleb Brackin located?

Caleb Brackin practices at 1300 N La Brea Ave, Los Angeles, CA 90028. The listed phone number is (323) 464-1336.

What is Caleb Brackin's specialty?

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

Is Caleb Brackin enrolled in Medicare?

Yes. Caleb Brackin 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.

When was this NPI record last updated?

The NPPES record for Caleb Brackin was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.