GLENDON WAYNE BRADLEY PMHNP
NPI 1861098469
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL
About Glendon Wayne Bradley Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENDON WAYNE BRADLEY PMHNP (NPI 1861098469) is an individual psychiatric/mental health provider in Lakeland, Florida, licensed in Florida (11010529) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glendon Wayne Bradley Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Glendon Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Mary, FL 32746
- Reassigned Medicare billing, Florida enrollment
- 119 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LAKELAND, FL 33801
LAKELAND, FL 33801
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 Glendon Bradley's NPI number?
The NPI number for Glendon Bradley is 1861098469. It was assigned to this individual provider in the NPPES registry on December 8, 2020.
Where is Glendon Bradley located?
Glendon Bradley practices at 930 Alicia Rd, Lakeland, FL 33801. The listed phone number is (863) 680-1950.
What is Glendon Bradley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Glendon Bradley enrolled in Medicare?
Yes. Glendon Bradley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Glendon Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glendon Bradley reassigns Medicare benefits to Dr Luisa Vega Dnp LLC (Lake Mary, FL). The 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 Glendon Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glendon Bradley accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 other insurers list Glendon Bradley 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 Glendon Bradley was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.