JENNIFER BRADLEY - NPI 1740802073 - Nurse Practitioner in Lafayette, IN

Q: What is Jennifer Bradley's NPI number?

The NPI number for Jennifer Bradley is 1740802073. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Jennifer 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 Jennifer Bradley was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Bradley NPPES

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

JENNIFER BRADLEY (NPI 1740802073) is an individual family provider in Lafayette, Indiana, licensed in South Carolina (25973) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740802073

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER BRADLEY

Location Address3920 ST FRANCIS WAY STE 100Lafayette, IN 47905-4917

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (131) 752-8480

Phone(765) 428-5990

Sole ProprietorYes

Enumeration DateMay 8, 2020

Last NPPES UpdateJune 27, 20255 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1740802073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 25973✔ Licensed in IN · 71010119A

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 25973 (SC)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 28186289A (IN)

3920 ST FRANCIS WAY STE 100, Lafayette, IN 47905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Bradley 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 47905 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 10

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

HOLLYN MCCARTY

Obstetrics & Gynecology