ETHEL MARIE BRADSHAW (APRN) – Family Nurse Practitioner, NPI 1659736874

ETHEL MARIE BRADSHAW (APRN) is a healthcare provider. based in Plantation, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9214994 (FL). The NPI Number for ETHEL MARIE BRADSHAW (APRN) is 1659736874

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ETHEL MARIE BRADSHAW (APRN)
NPI
1659736874
Phone
(954) 687-6765
Address
520 NW 46TH AVE
Enumeration Date
15 December 2015
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9546247900
Graduation Year
2015 (11 years ago)
PAC ID
5395013809
Group Practice PAC ID
0941451314
Professional Enrollment ID
I20170623001771
Address ID
FL330042252DA1815XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ETHEL MARIE BRADSHAW (APRN)

  • 520 NW 46TH AVE

    PLANTATION, FL 333172040

    Phone: (954) 687-6765

    Type: Mailing

  • 5200 NE 2ND AVE FL 3

    MIAMI, FL 331372706

    Phone: (305) 762-3883

    Type: Location

  • 6400 SHAFER CT STE 700

    ROSEMONT, IL 600184989

    Phone: (346) 376-1702

    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: 2017-06-23

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
I20170623001771INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11152$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6739$0
99497Advance care planning, first 30 minutes5341$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4039$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3418$0
View full utilization report →

Insurance plans in this area (ZIP 33317)

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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: 0941451314View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerTX
Nurse PractitionerCA
Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify ETHEL MARIE BRADSHAW (APRN) for billing?
Administrative and clinical systems typically use NPI 1659736874 for ETHEL MARIE BRADSHAW (APRN).
Should I treat ETHEL MARIE BRADSHAW (APRN) as an active provider?
Patients and plans typically see ETHEL MARIE BRADSHAW (APRN) as active in the national extract.
Which specialty label fits ETHEL MARIE BRADSHAW (APRN)?
NPPES ties ETHEL MARIE BRADSHAW (APRN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ETHEL MARIE BRADSHAW (APRN)?
The directory associates ETHEL MARIE BRADSHAW (APRN) with Plantation, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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