BLAKLEY J BRACKETT AGACNP
NPI 1689489544
Nurse Practitioner in Gulfport, MS

Q: 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.

Q: What is Blakley Brackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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 16 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.

Active since February 10, 2025PECOS EnrolledAccepts Medicare Assignment

1391 BROAD AVE, GULFPORT, MS 39501(228) 863-8868 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Feb 10, 2025 (2 updates tracked since 2025).

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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

NPI1689489544

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBLAKLEY J BRACKETTCredential: AGACNP

Location Address1391 BROAD AVEGulfport, MS 39501-2419

Mailing Address223 41st StGulfport, MS 39507-3931 · (228) 209-5031

Phone(228) 863-8868

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 10, 2025

Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1689489544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 907156

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1391 BROAD AVE, Gulfport, MS 39501

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Secondary Practice Location 1

Location 14500 13th StGulfport, MS 39501-2515 · Phone (228) 867-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

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.

PECOS PAC ID3072031368

PECOS Enrollment IDI20250520002434

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.

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, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

Physician 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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 11

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

TONY ALEXANDER TURAN FNP-C

Nurse Practitioner (Family)