COURTNEY E BRADLEY – Family Nurse Practitioner, NPI 1083241012

COURTNEY E BRADLEY is a healthcare provider. based in Connersville, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71009971A (IN). The NPI Number for COURTNEY E BRADLEY is 1083241012

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY E BRADLEY
NPI
1083241012
Phone
(765) 827-1164
Address
707 W 3RD ST
Enumeration Date
27 March 2020
Last Update Date
14 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5134897100
Graduation Year
2019 (7 years ago)
PAC ID
6709216021
Group Practice PAC ID
8325263734
Professional Enrollment ID
I20200428000789
Address ID
IN462501628IN5226XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for COURTNEY E BRADLEY

  • 707 W 3RD ST

    CONNERSVILLE, IN 473311577

    Phone: (765) 827-1164

    Type: Location

  • 240 N TILLOTSON AVE

    MUNCIE, IN 473043988

    Phone: (765) 288-1928

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,213.

Total Amount is formed as General ($1,213) + Research ($0) + Ownership ($0) = $1,213.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($378).

Total Amount

$1,213

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2020-04-28

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
I20200428000789INurse PractitionerINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47331)

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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: 8325263734View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerIN
Nurse PractitionerTX
Nurse PractitionerKY
-OH
Nurse PractitionerMD
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Does COURTNEY E BRADLEY have a public NPI I can cite?
Public records show COURTNEY E BRADLEY under NPI 1083241012.
Does the public listing show COURTNEY E BRADLEY as active?
COURTNEY E BRADLEY's NPI record reflects an active status in NPPES.
What services align with COURTNEY E BRADLEY's listing?
COURTNEY E BRADLEY's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to COURTNEY E BRADLEY?
COURTNEY E BRADLEY is associated with Connersville, Indiana in the same public data insurers reference.
Can I export COURTNEY E BRADLEY's record?
You can download the official NPPES record; we summarize key fields for readability.

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