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

Q: 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.

Q: What is Lashonda Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lashonda Bradley was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Lashonda Bradley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine Clinic Of Clarksdale

Same address

Specialist

1967 HOSPITAL DR
Clarksdale, MS 38614

Reassigned Medicare billing, Mississippi enrollment
2 clinicians in this Medicare group

NPI 1457554479 (662) 624-5481

Community Care Health Network LLC

253 mi

Nurse Practitioner

424 CHURCH ST STE 220
Nashville, TN 37219

Reassigned Medicare billing, Mississippi enrollment
195 clinicians in this Medicare group

NPI 1619368842 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Lashonda Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lashonda Bradley reassigns Medicare benefits to 2 organizations: Internal Medicine Clinic Of Clarksdale (Clarksdale, MS) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lashonda Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lashonda Bradley was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.