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Deactivated NPI 1568992055 Deactivated / Inactive NPI Female Practitioner

Ariel Patricia Brazzale , FNP-BC

Nurse Practitioner • Saint John, IN

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ariel Brazzale has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2017
NPI Deactivation Date October 24, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Ariel Brazzale, FNP-BC was a registered Nurse Practitioner practicing in Saint John, IN. Throughout an active medical career spanning 1 years, Ariel Brazzale provided care at the practice location at 9430 WICKER AVE until profile deactivation on 2022-10-24.

Ariel Brazzale maintained professional affiliations with The Methodist Hospitals Inc, Fuze Medical and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9430 Wicker Ave

Saint John, IN 463739400

Telephone 2196691034
Fax 8778229116
Associated Practice Facility / Clinic
🏢 Genesis Rehab Services Llc Facility NPI 1790062594

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint John, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -8.7 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Saint John, IN (2620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brazzale (4 Years) 4 Yrs
Saint John Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
32 27 $154.51 $71.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 18 $197.93 $100.92

Medical Specialties & State Licenses

CMS Verified: 2022-11-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71013263A

(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.

Specialist/Technologist, Other - Surgical Assistant

NUCC Taxonomy Code: 246ZC0007X

State License IN 142462

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Hospital & Practice Group Affiliations

The Methodist Hospitals Inc

101 E 87th Ave, Merrillville, IN 464107335

Phone: 2197386670

Fuze Medical

9430 Wicker Ave, Saint John, IN 463739400

Phone: 2195888068

Secondary Practice Locations

2020 E Columbus Dr Ste B

East Chicago, IN 463122830

Phone: 2195588068

929 Ridge Rd Ste 7

Munster, IN 463211769

Phone: 2195588068

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Nikhil Malik , PT, CEAS

Physical Therapist

NPI 1528341567

Physical Therapist, CEAS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 18, 2022

Registered at 9430 WICKER AVE, SAINT JOHN, IN 463739400 (Tel: 2196691034)

📍
Updated Business Mailing Address November 18, 2022

Registered at 4936 PHEASANT CT, SCHERERVILLE, IN 463753384

👤
Provider Name / Credentials Updated November 18, 2022

Recorded as ARIEL BRAZZALE, FNP- BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2022

Specialist/Technologist, Other (License #142462 in IN)

⚠️
NPI Profile Deactivated October 24, 2022

Record deactivated on October 24, 2022

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 4936 PHEASANT CT, SCHERERVILLE, IN 463753384 (Tel: 2196691034)

📍
Updated Business Mailing Address June 15, 2017

Registered at 4936 PHEASANT CT, SCHERERVILLE, IN 463753384

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as ARIEL BRAZZALE, RN CSFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Specialist/Technologist, Other (License #142462 in IN)

🟢
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568992055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: November 18, 2022
Deactivation Date: October 24, 2022
Sole Proprietor: No

Mailing Address

4936 Pheasant Ct

Schererville, IN 463753384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.