BLAKLEY J BRACKETT AGACNP
NPI 1689489544
Nurse Practitioner in Gulfport, MS
About Blakley J Brackett Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKLEY J BRACKETT AGACNP (NPI 1689489544) is an individual nurse practitioner in Gulfport, Mississippi, licensed in Mississippi (907156) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and maintains a secondary practice location in Gulfport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Blakley J Brackett Agacnp 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 Reassignment
Medicare enrollment records show Blakley Brackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39501 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GULFPORT, MS 39501
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 Blakley Brackett's NPI number?
The NPI number for Blakley Brackett is 1689489544. It was assigned to this individual provider in the NPPES registry on February 10, 2025.
Where is Blakley Brackett located?
Blakley Brackett practices at 1391 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-8868.
What is Blakley Brackett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Blakley Brackett enrolled in Medicare?
Yes. Blakley Brackett 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 organization bills Medicare for Blakley Brackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blakley Brackett reassigns Medicare benefits to Memorial Hospital At Gulfport (Gulfport, MS). The 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 Blakley Brackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blakley Brackett accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Blakley Brackett 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.
Is Blakley Brackett affiliated with any hospitals?
According to CMS data, Blakley Brackett is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Blakley Brackett was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Blakley J Brackett, AGACNP · NPI 1689489544
Nurse Practitioner physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since February 10, 2025.
## Identity
- **NPI:** 1689489544 (Entity type: Individual)
- **Enumerated:** February 10, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 907156 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1391 BROAD AVE, Gulfport, MS 39501-2419
- **Phone:** (228) 863-8868
## 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:** Memorial Hospital At Gulfport (NPI 1093142598, Gulfport, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1689489544) · Data from the CMS NPPES public registry.