KRISTINA KAY BRADFORD (APN) – Family Nurse Practitioner, NPI 1023441904

KRISTINA KAY BRADFORD (APN) is a healthcare provider. based in Effingham, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209010611 (IL). The NPI Number for KRISTINA KAY BRADFORD (APN) is 1023441904

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA KAY BRADFORD (APN)
NPI
1023441904
Phone
(217) 821-5696
Address
811 E GORDON AVE
Enumeration Date
15 August 2013
Last Update Date
15 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2179949301
Graduation Year
2013 (13 years ago)
PAC ID
6406086057
Group Practice PAC ID
6800026006
Professional Enrollment ID
I20140228000021
Address ID
IL624014634EF1001XAMER501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KRISTINA KAY BRADFORD (APN)

  • 811 E GORDON AVE

    EFFINGHAM, IL 624013724

    Phone: (217) 821-5696

    Type: Mailing

  • 1800 E LAKE SHORE DR

    DECATUR, IL 625213810

    Phone: (217) 464-2966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140228000021INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)7567$0
81003Automated urinalysis test3635$0
87804Detection test by immunoassay with direct visual observation for influenza virus3618$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1313$0
View full utilization report →

Insurance plans in this area (ZIP 62401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800026006View full group profile
NameSpecialtyState
Emergency MedicineIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

What is the standard ID for KRISTINA KAY BRADFORD (APN) in the U.S.?
In the U.S., KRISTINA KAY BRADFORD (APN) is identified by NPI 1023441904.
Does the public listing show KRISTINA KAY BRADFORD (APN) as active?
KRISTINA KAY BRADFORD (APN)'s NPI record reflects an active status in NPPES.
How should patients interpret KRISTINA KAY BRADFORD (APN)'s specialty?
The extract shows Family Nurse Practitioner for KRISTINA KAY BRADFORD (APN). Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTINA KAY BRADFORD (APN)?
KRISTINA KAY BRADFORD (APN) shows a connection to Effingham, Illinois in registry-derived data.
Can I export KRISTINA KAY BRADFORD (APN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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