LAKYNN R BRADSHAW APRN
NPI 1174254585
Nurse Practitioner - Family in West Plains, MO

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775(417) 255-8645 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakynn R Bradshaw Aprn NPPES

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

LAKYNN R BRADSHAW APRN (NPI 1174254585) is an individual family provider in West Plains, Missouri, licensed in Arkansas (220776) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174254585
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAKYNN R BRADSHAWCredential: APRN
Location Address1307 PORTER WAGONER BLVDWest Plains, MO 65775-1828
Mailing Address1128 Mount Calm RdViola, AR 72583-9445 · (870) 371-0380
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1174254585 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
Licenses✔ Licensed in AR · 220776✔ Licensed in MO · 2022031561
1307 PORTER WAGONER BLVD, West Plains, MO 65775

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lakynn R Bradshaw 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 ID9537525894
PECOS Enrollment IDI20230512000254, I20241009002509
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

5

Medicare enrollment records show Lakynn Bradshaw reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
1211 PORTER WAGONER BLVD, #23 PARKWAY
West Plains, MO 65775
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group
Nurse Practitioner
14 MEDICAL PLZ STE 2
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 12 clinicians in this Medicare group
Specialist
100 S 4TH ST STE 550
Saint Louis, MO 63102
  • Reassigned Medicare billing, Arkansas and Missouri enrollments
  • 6 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Missouri enrollment
  • 37 clinicians in this Medicare group

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 65775 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 7

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

Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Family Medicine
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775

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 Lakynn Bradshaw's NPI number?

The NPI number for Lakynn Bradshaw is 1174254585. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Lakynn Bradshaw located?

Lakynn Bradshaw practices at 1307 Porter Wagoner Blvd, West Plains, MO 65775. The listed phone number is (417) 255-8645.

What is Lakynn Bradshaw's specialty?

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

Is Lakynn Bradshaw enrolled in Medicare?

Yes. Lakynn Bradshaw 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.

Which organizations bill Medicare for Lakynn Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lakynn Bradshaw reassigns Medicare benefits to 5 organizations: Ozarks Medical Center (West Plains, MO), Sycamore Springs Senior Living, LLC (Mountain Home, AR), Wound Care Plus, LLC (Saint Louis, MO), Healing Partners Plus PLLC (Naperville, IL) and Consonant Healing Associates Of De LLC (Sparks, MD). 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 Lakynn Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lakynn Bradshaw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 6 other insurers list Lakynn Bradshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakynn Bradshaw was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.