DIANA LYNN BROCKMAN FNP
NPI 1770530347
Nurse Practitioner - Psychiatric/Mental Health in Jackson, TN

Q: What is Diana Brockman's NPI number?

The NPI number for Diana Brockman is 1770530347. It was assigned to this individual provider in the NPPES registry on May 28, 2006. The provider is also known as Diana Riddle.

Q: What is Diana Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Diana Brockman was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 28, 2006PECOS Enrolled

238 SUMMAR DR, JACKSON, TN 38301(731) 935-8200(731) 935-8327 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Diana Lynn Brockman Fnp NPPES

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

DIANA LYNN BROCKMAN FNP (NPI 1770530347) is an individual psychiatric/mental health provider in Jackson, Tennessee, licensed in Tennessee (59629) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770530347

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDIANA LYNN BROCKMANCredential: FNP

Location Address238 SUMMAR DRJackson, TN 38301-3906

Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 660-8781

Phone(731) 935-8200

Fax(731) 935-8327

Sole ProprietorNo

Enumeration DateMay 28, 2006

Last NPPES UpdateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1770530347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · 59629

238 SUMMAR DR, Jackson, TN 38301

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Other Names 1

Former Name (1)Diana Riddle

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Lynn Brockman 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.

Medicare Billing Reassignment

Medicare enrollment records show Diana Brockman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathways Of Tennessee, Inc.

Same address

Clinic/Center

238 SUMMAR DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
57 clinicians in this Medicare group

NPI 1497721609 (731) 541-8200

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

42 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

CARRIE DAVIS BURNS CASE MANAGER

Counselor (Mental Health)