DIANA KAY BRAZIEL (PA-C) – Urology Physician, NPI 1225297260

DIANA KAY BRAZIEL (PA-C) is a healthcare provider. based in Bentonville, Arkansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. P-T0807 (AR). The NPI Number for DIANA KAY BRAZIEL (PA-C) is 1225297260

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DIANA KAY BRAZIEL (PA-C)
NPI
1225297260
Phone
(479) 268-6800
Address
3400 SE MACY ROAD
Enumeration Date
5 June 2008
Last Update Date
9 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012198900
Graduation Year
2008 (18 years ago)
PAC ID
6002974243
Group Practice PAC ID
4082502547
Professional Enrollment ID
I20081016000600
Address ID
AR728012536RU2504XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

629 PHYSICIAN ASSISTANT in AR

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Provider Addresses for DIANA KAY BRAZIEL (PA-C)

  • 3400, Southeast Macy Road, Bentonville, Benton County, Arkansas, 72712, United States

    SUITE 18

    BENTONVILLE, AR 72712

    Phone: (479) 268-6800

    Fax: (479) 268-6802

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $2,100.

Total Amount is formed as General ($2,100) + Research ($0) + Ownership ($0) = $2,100.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($217).

Total Amount

$2,100

General + Research + Ownership

Payments

97

Total payment records

General Amount

$2,100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081016000600IPhysician AssistantARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test306203$0
99214Established patient office or other outpatient visit, 30-39 minutes293202$0
87799Detection test by nucleic acid for organism, quantification11728$0
87798Detection test by nucleic acid for organism, amplified probe technique7827$0
36415Insertion of needle into vein for collection of blood sample7663$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082502547View full group profile

Reviews

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Frequently asked questions

What is the registry number for DIANA KAY BRAZIEL (PA-C)?
The registry entry for DIANA KAY BRAZIEL (PA-C) shows NPI 1225297260.
Quick check: is DIANA KAY BRAZIEL (PA-C) active?
Public NPPES data shows DIANA KAY BRAZIEL (PA-C) with an active NPI status right now.
Which specialty label fits DIANA KAY BRAZIEL (PA-C)?
NPPES ties DIANA KAY BRAZIEL (PA-C) to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DIANA KAY BRAZIEL (PA-C)?
DIANA KAY BRAZIEL (PA-C) shows a connection to Bentonville, Arkansas in registry-derived data.
Who maintains DIANA KAY BRAZIEL (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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