KRISTIE LEE BRACKETT NP
NPI 1790447175
Nurse Practitioner - Gerontology in Evansville, IN

Active since October 12, 2021PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
711 SAINT MARYS DR, EVANSVILLE, IN 47714(812) 476-4362(812) 469-3700 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2022, Oct 12, 2021 (2 updates tracked since 2021).

About Kristie Lee Brackett Np NPPES

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

KRISTIE LEE BRACKETT NP (NPI 1790447175) is an individual gerontology provider in Evansville, Indiana, licensed in Indiana (71011639A) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790447175
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKRISTIE LEE BRACKETTCredential: NP
Location Address711 SAINT MARYS DREvansville, IN 47714-0508
Mailing Address711 Saint Marys DrEvansville, IN 47714-0508 · (812) 476-4362
Fax(812) 469-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2021
Last NPPES UpdateJune 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
NPI 1790447175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IN · 71011639A
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 71011639A (IN)
711 SAINT MARYS DR, Evansville, IN 47714

Accepted 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

Kristie Lee Brackett Np 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 ID1355730334
PECOS Enrollment IDI20211112000674
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services52 patients
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.
47 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
711 SAINT MARYS DR
EVANSVILLE, IN 47714
Family Medicine
711 SAINT MARYS DR
EVANSVILLE, IN 47714
Dietitian, Registered
711 SAINT MARYS DR
EVANSVILLE, IN 47714
Family Medicine
711 SAINT MARYS DR
EVANSVILLE, IN 47714
Nurse Practitioner (Adult Health)
711 SAINT MARYS DR
EVANSVILLE, IN 47714
Nurse Practitioner (Family)
711 SAINT MARYS DR
EVANSVILLE, IN 47714
Nurse Practitioner (Family)
711 SAINT MARYS DR
EVANSVILLE, IN 47714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790447175, enumerated as an "individual" on October 12, 2021.

The provider is located at 711 SAINT MARYS DR EVANSVILLE, IN 47714 and the phone number is (812) 476-4362.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Kristie Brackett is affiliated with: WABASH GENERAL HOSPITAL 1 and ASCENSION ST VINCENT EVANSVILLE.