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LASHONDA LASHAY BRADLEY FNP-C
NPI 1124515663
Nurse Practitioner - Family in Clarksdale, MS

Active since April 19, 2018PECOS Enrolled
1967 HOSPITAL DR, CLARKSDALE, MS 38614(662) 624-5481(662) 621-1499 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2022, Apr 12, 2019, Apr 19, 2018 (3 updates tracked since 2018).

About Lashonda Lashay Bradley Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASHONDA LASHAY BRADLEY FNP-C (NPI 1124515663) is an individual family provider in Clarksdale, Mississippi, licensed in Mississippi (902111) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124515663
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLASHONDA LASHAY BRADLEYCredential: FNP-C
Location Address1967 HOSPITAL DRClarksdale, MS 38614-7203
Mailing Address1967 Hospital DrClarksdale, MS 38614-7203 · (662) 592-2038
Phone(662) 624-5481
Fax(662) 621-1499
Sole ProprietorNo
Enumeration DateApril 19, 2018
Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1124515663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 902111
1967 HOSPITAL DR, Clarksdale, MS 38614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lashonda Lashay Bradley Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims56 services$6.06 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier15 claims15 services$2.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers19 claims26 services$1.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRENE BUCKNER M.D.
Specialist
1967 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 624-5481
INTERNAL MEDICINE CLINIC OF CLARKSDALE
Specialist
1967 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 624-5481
MATURE CARE, LLC
Clinic/Center (Adult Day Care)
1967 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 627-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lashonda Bradley's NPI number?

The NPI number for Lashonda Bradley is 1124515663. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Lashonda Bradley located?

Lashonda Bradley practices at 1967 Hospital Dr, Clarksdale, MS 38614. The listed phone number is (662) 624-5481.

What is Lashonda Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lashonda Bradley enrolled in Medicare?

Yes. Lashonda Bradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lashonda Bradley was last updated on August 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.