SHAWNEE BRADLEY (FNP-BC) – Family Nurse Practitioner, NPI 1154954915

SHAWNEE BRADLEY (FNP-BC) is a healthcare provider. based in Palm springs, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 95013999 (CA). The NPI Number for SHAWNEE BRADLEY (FNP-BC) is 1154954915

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SHAWNEE BRADLEY (FNP-BC)
NPI
1154954915
Phone
(760) 641-9964
Address
275 N EL CIELO RD
Enumeration Date
19 February 2020
Last Update Date
19 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9705165500
Graduation Year
2019 (7 years ago)
PAC ID
8325451511
Group Practice PAC ID
9335141266
Professional Enrollment ID
I20221130003597
Address ID
CO813213039CO1942XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SHAWNEE BRADLEY (FNP-BC)

  • 275 N EL CIELO RD

    PALM SPRINGS, CA 922626972

    Phone: (760) 641-9964

    Type: Location

  • 44672 MONACO CIR

    PALM DESERT, CA 922608552

    Phone: (760) 641-9964

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210223002303INurse PractitionerCATBD
I20221130003597INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes130130$0
99213Established patient office or other outpatient visit, 20-29 minutes7665$0
J0696Injection, ceftriaxone sodium, per 250 mg6011$0
96372Injection of drug or substance under skin or into muscle5639$0
81003Automated urinalysis test4744$0
View full utilization report →

Insurance plans in this area (ZIP 92262)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335141266View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantME
Physician AssistantCO
Physical Therapist In Private PracticeCO
Nurse PractitionerNM
Physician AssistantCO
Nurse PractitionerNM
Emergency MedicineUT
Physician AssistantCO
Family PracticeCO

Reviews

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Frequently asked questions

What number should I use to identify SHAWNEE BRADLEY (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1154954915 for SHAWNEE BRADLEY (FNP-BC).
Is SHAWNEE BRADLEY (FNP-BC)'s NPI status active today?
Active status means SHAWNEE BRADLEY (FNP-BC)'s NPI record is not deactivated in the public file.
What services align with SHAWNEE BRADLEY (FNP-BC)'s listing?
SHAWNEE BRADLEY (FNP-BC)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHAWNEE BRADLEY (FNP-BC) tied to Palm Springs, California?
If you are local to Palm Springs, California, SHAWNEE BRADLEY (FNP-BC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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