Individual provider Active NPI

Amanda Bradley, APNP

  • Primary Care Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1194387035
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9327-33 Issued in WI
Practice address
617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone
(715) 834-2788
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9327-33 WI Primary
Primary Care Nurse Practitioner 363LP2300X 178790-30 WI

Addresses

Primary practice location

617 W Clairemont Ave
Eau Claire, WI 54701-6223

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829003637 WI Practitioner - Nurse Practitioner 5193053031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
178790-30WIMDPrimary Care Nurse Practitioner
9327-33WIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc CurrentSince Aug 5, 2019 Accepting new patients
Oakleaf Clinics SC CurrentSince Aug 5, 2019 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients

Locations

617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788

2403 Folsom St
Eau Claire, WI 54703

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

2741 N Clairemont Ave
Eau Claire, WI 54703
Phone (715) 834-0711

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

Interoperability endpoints

  • Direct secure messaging: abradley29673@oakleafmed.gardenplot.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1194387035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016223",
            "telephone_number": "715-834-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "AMANDA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "9327-33",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "178790-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.