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

Jerri Bradshaw, PA-C

Individual provider Physician Assistant · NPI 1609893676

Jerri Bradshaw, PA-C is a Physician Assistant in Lone Grove, Oklahoma. Qualified in 2004, 22 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
22
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

16370 US Highway 70
Lone Grove, OK 73443-6535
Phone: (580) 224-2862
Fax: (580) 224-2863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1402 (OK)

Record details

NPI number1609893676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 16, 2006
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing addressPo Box 776084, Chicago, IL 60677-6084

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare