Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlotte Ekstrom

Individual provider Nurse Practitioner · NPI 1558106898

Charlotte Ekstrom is a Nurse Practitioner in Bradenton, Florida. Qualified in 2024, 2 years ago. Practices with Shadrick Kralik MD PA, an 18-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

202 San Casciano Ln
Bradenton, FL 34208-0601
Phone: (443) 616-6140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11033664 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11033664 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 11033664 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 11033664 (FL)

Record details

NPI number1558106898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address202 San Casciano Ln, Bradenton, FL 34208-0601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shadrick Kralik Md Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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