KELLEE K BRADY (PA-C) – Physician Assistant, NPI 1487623799
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KELLEE K BRADY (PA-C)
PO BOX 211492
ROYAL PALM BEACH, FL 334211492
Phone: (320) 806-9222
Fax: (888) 882-9097
Type: Mailing
413 LILLY RD SE
OLYMPIA, WA 985012108
Phone: (253) 888-9077
Fax: (904) 634-0203
Type: Location
PO BOX 347
PONTE VEDRA BEACH, FL 320040347
Phone: (253) 888-9077
Fax: (253) 888-9077
Type: Mailing
1503, Oak Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States
JACKSONVILLE, FL 322043910
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($261).
Total Amount
$261
General + Research + Ownership
Payments
5
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $261 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050929000822 | I | Physician Assistant | WA | TBD |
| I20071026000461 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 15 | 15 | $0 |
Insurance plans in this area (ZIP 33421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | FL | |
| Physician Assistant | TN | |
| Physician Assistant | FL | |
| Physician Assistant | AZ | |
| Nurse Practitioner | TN |
Reviews
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