Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ilene Brackin, PA-C

Individual provider Physician Assistant · NPI 1457451981

Ilene Brackin, PA-C is a Physician Assistant in Bismarck, North Dakota. Qualified in 2017, 9 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
9
Licensed in
ND
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

310 N 10th St
Bismarck, ND 58501-4516
Phone: (701) 530-7500
Fax: (701) 530-7484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 857-5000
  • 101 3rd Ave Sw, Minot, ND 58701-3880 — (701) 857-3655

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence PAC0236 (ND)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PAC0236 (ND)

Record details

NPI number1457451981
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bismarck