MS. DEENA R BRISSETT FNP
NPI 1720172539
Nurse Practitioner - Family in Goshen, IN

Q: What is Deena Brissett's NPI number?

The NPI number for Deena Brissett is 1720172539. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Deena Elizalde.

Q: What is Deena Brissett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deena Brissett was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 October 03, 2006PECOS Enrolled

1811 CHARLTON CT, GOSHEN, IN 46526(574) 534-8200(574) 534-0411 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Deena R Brissett Fnp NPPES

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

MS. DEENA R BRISSETT FNP (NPI 1720172539) is an individual family provider in Goshen, Indiana, licensed in Indiana (71001310A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720172539

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. DEENA R BRISSETTCredential: FNP

Location Address1811 CHARLTON CTGoshen, IN 46526-6464

Mailing Address1811 Charlton CtGoshen, IN 46526-6464 · (574) 534-8200 · Fax (574) 534-0411

Phone(574) 534-8200

Fax(574) 534-0411

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 22, 2022

NPPES CertifiedJuly 22, 2022

✔ NPI 1720172539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IN · 71001310A✔ Licensed in TX · 622215

1811 CHARLTON CT, Goshen, IN 46526

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Other Names 1

Former Name (1)Deena Elizalde

Other Identifiers 1

Medicaid180329801TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Deena R Brissett Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 14

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

MRS. ARIN MILLER FNP

Nurse Practitioner (Family)