SUNRISE HEALTHCARE, LLC
NPI 1487094223
Nurse Practitioner - Adult Health in Seymour, IN

Active since June 25, 2013CLIA 15D2066089 · Waiver
1171 WEST TIPTON ST, SUITE E, SEYMOUR, IN 47274(812) 405-2125(812) 405-2425 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sunrise Healthcare, Llc NPPES

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

SUNRISE HEALTHCARE, LLC (NPI 1487094223) is a healthcare organization registered as an adult health in Seymour, Indiana and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Diana Brackin, Manager, as its authorized official.

NPPES Registry Identity

NPI1487094223
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSUNRISE HEALTHCARE, LLC
Location Address1171 WEST TIPTON ST, SUITE ESeymour, IN 47274-2793
Mailing Address410 S Chestnut StSeymour, IN 47274-2370 · (812) 405-2125 · Fax (812) 405-2425
Fax(812) 405-2425
Organization SubpartNo
Authorized OfficialDiana BrackinManager · (812) 405-2125
Enumeration DateJune 25, 2013
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1487094223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
1171 WEST TIPTON ST, Seymour, IN 47274

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunrise Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sunrise Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1700359080
410 S CHESTNUT ST
Seymour, IN 47274
(812) 405-2125
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1972578474
600 S JACKSON PARK DR
Seymour, IN 47274
(812) 519-2963
✔ PECOS✔ Accepts Medicare1.7 mi
Pain Management
NPI 1346322179
2400 NORTHPARK DR STE 10
Columbus, IN 47203
(812) 376-0700
✔ PECOS✔ Accepts Medicare19 mi
Chiropractic
NPI 1992753339
6301 N KEYSTONE AVE
Indianapolis, IN 46220
(317) 257-2225
64 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2066089

Sunrise Healthcare · Seymour, IN
Active · expires Sep 19, 2027
CLIA Number15D2066089
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDiana L. Brackin
Laboratory Phone(812) 405-2125
Laboratory LocationSunrise Healthcare410 S Chestnut St, Seymour, IN 47274
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sunrise Healthcare, LLC's NPI number?

The NPI number for Sunrise Healthcare, LLC is 1487094223. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Sunrise Healthcare, LLC located?

Sunrise Healthcare, LLC is located at 1171 West Tipton St Suite E, Seymour, IN 47274. The listed phone number is (812) 405-2125.

What is Sunrise Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sunrise Healthcare, LLC enrolled in Medicare?

Yes. Sunrise Healthcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunrise Healthcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Sunrise Healthcare, LLC, in Chiropractic, Nurse Practitioner and Pain Management. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sunrise Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2066089) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunrise Healthcare, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Sunrise Healthcare, LLC 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 Sunrise Healthcare, LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.