Jennifer Bradley, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cedar Rapids, IA
NPI 1013978089 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1013978089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- G095464 (IA)
- Practice address
- 701 10TH St SE
Cedar Rapids, IA 52403-1251 - Phone
- (319) 369-4777
- Fax
- (319) 369-4694
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G095464 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G095464 | IA | Yes |
Addresses
Primary practice location
701 10TH St SE
Cedar Rapids, IA 52403-1251
Mailing address
PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 369-4505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0442376 | Medicaid | IA |
Other providers in Cedar Rapids, IA
- Casey J Boyles
- Boyson Road Development LLC
- Margaret Ann Boyt
- Becky Bradley
- Dennis J Bradley
- Ignatius J Brady
- Robert Braksiek
- Brandis McFarland Ma, LMHC Mental Health Counseling PLLC
- Olivia Brands
- Karley Brantman
All providers in Cedar Rapids, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.