CMS-1500 Box 24J / 33a • NPI
1871110221
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
200 MAY ST, S ATTLEBORO, MA, 02703-5520
✓ 9-Digit EDI 837 ZIP+4 (02703-5520)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871110221 (JILLIAN L BRADLEY, PMHNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1871110221)
Medicare Beneficiaries
32
Total Billed Services
139
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$8,783.62
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90791 | Psychiatric diagnostic evaluation | 27 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 83 |
99238 | Hospital discharge day management, 30 minutes or less | 29 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Clonidine Hcl Clonidine Hcl | 12 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 11 | <11 |
| Gabapentin Gabapentin | 12 | <11 |
| Hydroxyzine Hcl Hydroxyzine Hcl | 14 | <11 |
| Hydroxyzine Pamoate Hydroxyzine Pamoate | 14 | 12 |
| Quetiapine Fumarate Quetiapine Fumarate | 17 | 12 |
| Sertraline Hcl Sertraline Hcl | 16 | <11 |
| Trazodone Hcl Trazodone Hcl | 16 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871110221 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JILLIAN L BRADLEY, PMHNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 200 MAY ST, S ATTLEBORO, MA, 02703-5520 |
| Practice Telephone / Fax | Tel: (508) 838-2219 | Fax: (508) 838-2298 |
| Administrative Mailing Address | 280 CHESTNUT STREET, SPRINGFIELD, MA, 01199-1001 |
| Enumeration & Last Sync | Enumerated: 2020-07-01 | CMS Record Updated: 2024-11-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JILLIAN L BRADLEY, PMHNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: MA | License: RN2328085 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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