MR. DANA G. BRACKETT (N.P.) – Family Nurse Practitioner, NPI 1164499067

MR. DANA G. BRACKETT (N.P.) is a healthcare provider. based in South bend, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 71002064A (IN). The NPI Number for MR. DANA G. BRACKETT (N.P.) is 1164499067

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANA G. BRACKETT (N.P.)
NPI
1164499067
Phone
(574) 647-5300
Address
100 NAVARRE PL STE 4440
Enumeration Date
1 March 2006
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3174551064
Graduation Year
2005 (21 years ago)
PAC ID
4880609924
Group Practice PAC ID
5698667822
Professional Enrollment ID
I20060210000551
Address ID
IN466351567SO53880DRXX300

Contacts

Secure Messaging
dana.brackett.1@9564.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MR. DANA G. BRACKETT (N.P.)

  • 100 NAVARRE PL STE 4440

    SOUTH BEND, IN 466011171

    Phone: (574) 647-5300

    Fax: (574) 647-5305

    Type: Location

  • 3600 W BETHEL AVE

    MUNCIE, IN 473045407

    Phone:

    Type: Mailing

  • 53880 CARMICHAEL DR

    SOUTH BEND, IN 466351567

    Phone: (574) 247-9441

    Type: Location

  • 60160 Bodnar Blvd

    Mishawaka, IN 465449338

    Phone: (574) 247-9441

    Type: Location

  • 2349 Lake Ave Ste 201

    Plymouth, IN 465637837

    Phone: (574) 247-9441

    Type: Location

  • 303 S Nappanee St Ste F

    Elkhart, IN 465142066

    Phone: (574) 247-9441

    Type: Location

  • 333 W 89TH AVE STE W5

    MERRILLVILLE, IN 464107050

    Phone: (219) 662-2279

    Fax: (855) 742-9438

    Type: Mailing

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1817

    Fax: (574) 647-1825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($169).

Total Amount

$169

General + Research + Ownership

Payments

2

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-02-10

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
I20060210000551INurse PractitionerINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg47689$0
20610Aspiration and/or injection of fluid from large joint160148$0
99214Established patient office or other outpatient visit, 30-39 minutes107105$0
27447Replacement of knee joint, both sides of knee7978$0
J1040Injection, methylprednisolone acetate, 80 mg7457$0
View full utilization report →

Insurance plans in this area (ZIP 46601)

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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: 5698667822View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Physician AssistantIN
Physical Therapist In Private PracticeIN
Physician AssistantIN
Physical Therapist In Private PracticeIN
Nurse PractitionerIN
Physical Therapist In Private PracticeIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What NPI should I save for MR. DANA G. BRACKETT (N.P.)?
Save NPI 1164499067 if you need a stable reference for MR. DANA G. BRACKETT (N.P.).
Is MR. DANA G. BRACKETT (N.P.) active in the national directory?
MR. DANA G. BRACKETT (N.P.)'s public NPI profile is in an active state.
What does MR. DANA G. BRACKETT (N.P.) treat or focus on?
Patients typically see MR. DANA G. BRACKETT (N.P.) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MR. DANA G. BRACKETT (N.P.)?
The snapshot lists South Bend, Indiana for MR. DANA G. BRACKETT (N.P.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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