JAKELL BRADLEY APRN
NPI 1124540174
Nurse Practitioner - Family in Waterbury, CT

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6004 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Jul 12, 2017 (2 updates tracked since 2017).

About Jakell Bradley Aprn NPPES

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

JAKELL BRADLEY APRN (NPI 1124540174) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (7077) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124540174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAKELL BRADLEYCredential: APRN
Location Address56 FRANKLIN STWaterbury, CT 06706-1253
Mailing Address9215 Town RdgMiddletown, CT 06457-6554
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2017
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1124540174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 7077
Also ListedNurse PractitionerTaxonomy 363L00000X · License 7077 (CT)
56 FRANKLIN ST, Waterbury, CT 06706

Other Names 1

Former Name (1)Jakell Burgess Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jakell Bradley Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022381466
PECOS Enrollment IDI20170906001677
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 06706 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706

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 Jakell Bradley's NPI number?

The NPI number for Jakell Bradley is 1124540174. It was assigned to this individual provider in the NPPES registry on July 12, 2017. The provider is also known as Jakell Burgess Aprn.

Where is Jakell Bradley located?

Jakell Bradley practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-6004.

What is Jakell Bradley's specialty?

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

Is Jakell Bradley enrolled in Medicare?

Yes. Jakell Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jakell Bradley was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.