KATHRYN BRACKMAN
NPI 1396451415
Nurse Practitioner - Gerontology in Carmel, IN
About Kathryn Brackman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN BRACKMAN (NPI 1396451415) is an individual gerontology provider in Carmel, Indiana, licensed in Indiana (71013430A) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 20 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 20
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
Kathryn Brackman 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Brackman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 15 clinicians in this Medicare group
St Augustine, FL 32086
- Reassigned Medicare billing, Indiana enrollment
- 40 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathryn Brackman's NPI number?
The NPI number for Kathryn Brackman is 1396451415. It was assigned to this individual provider in the NPPES registry on January 24, 2023.
Where is Kathryn Brackman located?
Kathryn Brackman practices at 118 Medical Dr, Carmel, IN 46032. The listed phone number is (317) 844-4211.
What is Kathryn Brackman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kathryn Brackman enrolled in Medicare?
Yes. Kathryn Brackman 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 Kathryn Brackman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Brackman reassigns Medicare benefits to 2 organizations: Lifespan Advanced Care LLC (Carmel, IN) and Hospitalist Medicine Physicians Of Mississippi-Tcs, Inc. (St Augustine, FL). 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 Kathryn Brackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathryn Brackman was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kathryn Brackman · NPI 1396451415
Gerontology physician in Carmel, Indiana. Individual provider, active in the CMS NPPES registry since January 24, 2023.
## Identity
- **NPI:** 1396451415 (Entity type: Individual)
- **Enumerated:** January 24, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 71013430A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 MEDICAL DR, Carmel, IN 46032-3323
- **Phone:** (317) 844-4211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifespan Advanced Care LLC (NPI 1558238345, Carmel, IN); Hospitalist Medicine Physicians Of Mississippi-Tcs, Inc. (NPI 1023866597, St Augustine, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396451415) · Data from the CMS NPPES public registry.