LA-SHERIA LAMARRA BRADLEY (APRN) – Family Nurse Practitioner, NPI 1083017156

LA-SHERIA LAMARRA BRADLEY (APRN) is a healthcare provider. based in Lake city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN9386592 (FL). The NPI Number for LA-SHERIA LAMARRA BRADLEY (APRN) is 1083017156

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LA-SHERIA LAMARRA BRADLEY (APRN)
NPI
1083017156
Phone
(386) 984-8357
Address
21609 47TH DR
Enumeration Date
3 October 2014
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3869353090
Graduation Year
2023 (3 years ago)
PAC ID
0749622553
Group Practice PAC ID
2365359387
Professional Enrollment ID
I20240524001663
Address ID
FL320083048BR103XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for LA-SHERIA LAMARRA BRADLEY (APRN)

  • 21609 47TH DR

    LAKE CITY, FL 320242639

    Phone: (386) 984-8357

    Type: Mailing

  • 4300 SW 13TH ST

    GAINESVILLE, FL 326084006

    Phone: (352) 374-5600

    Type: Location

  • 23476 NW 186TH AVE

    HIGH SPRINGS, FL 326430673

    Phone: (386) 454-0698

    Fax: (386) 454-0690

    Type: Mailing

  • 103 US HWY 27 SW

    BRANFORD, FL 320083048

    Phone: (386) 935-3090

    Fax: (386) 935-3198

    Type: Location

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: 2024-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240524001663INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32024)

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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: 2365359387View full group profile

Reviews

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Frequently asked questions

What is the registry number for LA-SHERIA LAMARRA BRADLEY (APRN)?
The registry entry for LA-SHERIA LAMARRA BRADLEY (APRN) shows NPI 1083017156.
Should I treat LA-SHERIA LAMARRA BRADLEY (APRN) as an active provider?
Patients and plans typically see LA-SHERIA LAMARRA BRADLEY (APRN) as active in the national extract.
What does the directory say LA-SHERIA LAMARRA BRADLEY (APRN) does?
Insurance directories may phrase it differently, but here LA-SHERIA LAMARRA BRADLEY (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to LA-SHERIA LAMARRA BRADLEY (APRN)?
The directory associates LA-SHERIA LAMARRA BRADLEY (APRN) with Lake City, Florida. Check all listed addresses for suites or satellite offices.
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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