LAQUESHA N BRAYNEN – Physician Assistant, NPI 1184441719

LAQUESHA N BRAYNEN is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 9120381 (FL). The NPI Number for LAQUESHA N BRAYNEN is 1184441719

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
LAQUESHA N BRAYNEN
NPI
1184441719
Phone
(786) 454-0063
Address
85 NW 165TH ST
Enumeration Date
24 September 2024
Last Update Date
2 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613288433
Graduation Year
2024 (2 years ago)
PAC ID
6507368354
Group Practice PAC ID
3375702830
Professional Enrollment ID
I20250909002424
Address ID
FL334065867WE3537XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for LAQUESHA N BRAYNEN

  • 85 NW 165TH ST

    MIAMI, FL 331696009

    Phone: (786) 454-0063

    Type: Mailing

  • 5818 S DIXIE HWY

    WEST PALM BEACH, FL 334053608

    Phone: (561) 429-4779

    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: 2025-09-09

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
I20250909002424IPhysician AssistantFLTBD

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 33169)

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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: 3375702830View full group profile
NameSpecialtyState
-FL
Emergency MedicineFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do payers reference LAQUESHA N BRAYNEN?
For LAQUESHA N BRAYNEN, use NPI 1184441719 as the unique 10-digit identifier.
Active or inactive — what applies to LAQUESHA N BRAYNEN?
You should see LAQUESHA N BRAYNEN as active in CMS-hosted NPPES data.
How would a patient describe LAQUESHA N BRAYNEN's focus?
For LAQUESHA N BRAYNEN, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LAQUESHA N BRAYNEN located near Miami?
LAQUESHA N BRAYNEN currently maps to Miami, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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