DIANA LYNN BROCKMAN (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1770530347
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DIANA LYNN BROCKMAN (FNP)
257 BANCORP SOUTH PKWY
JACKSON, TN 383057582
Phone: (731) 660-8781
Type: Mailing
238, Summar Drive, Westwood Gardens, Jackson, Madison County, Tennessee, 38301, United States
JACKSON, TN 383013906
Phone: (731) 935-8200
Fax: (731) 935-8327
Type: Location
45, Sycamore Street, Jackson, Madison County, Tennessee, 38301, United States
SUITE 604
JACKSON, TN 383054436
Phone: (731) 660-8759
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,300.
Total Amount is formed as General ($1,300) + Research ($0) + Ownership ($0) = $1,300.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($500).
Total Amount
$1,300
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $500 |
| Neurocrine BioSciences, Inc. | $199 |
| Otsuka America Pharmaceutical, Inc. | $195 |
| Takeda Pharmaceuticals U.S.A., Inc. | $137 |
| ITI, Inc. | $97 |
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: 2011-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110302000347 | I | Nurse Practitioner | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 26 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 30 | 17 | $0 |
Insurance plans in this area (ZIP 38305)
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