MS. SANDRA ROSE BRACKERT NP
NPI 1881824332
Nurse Practitioner in Santa Monica, CA

Q: What is Sandra Brackert's NPI number?

The NPI number for Sandra Brackert is 1881824332. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Q: What is Sandra Brackert'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 Sandra Brackert was last updated on July 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2009PECOS Enrolled

2336 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404(310) 829-5471(310) 829-6192 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Sandra Rose Brackert Np NPPES

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

MS. SANDRA ROSE BRACKERT NP (NPI 1881824332) is an individual nurse practitioner in Santa Monica, California, licensed in California (NP 17550) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881824332

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SANDRA ROSE BRACKERTCredential: NP

Location Address2336 SANTA MONICA BLVD STE 301Santa Monica, CA 90404-2067

Mailing Address2336 Santa Monica Blvd Ste 301Santa Monica, CA 90404-2067 · (310) 829-5471 · Fax (310) 829-6192

Phone(310) 829-5471

Fax(310) 829-6192

Sole ProprietorNo

Enumeration DateJuly 17, 2009

✔ NPI 1881824332 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 CA · NP 17550

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.

2336 SANTA MONICA BLVD STE 301, Santa Monica, CA 90404

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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. Sandra Rose Brackert Np 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 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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