OLIVIA KAY BRADSHAW (PA-C) – Physician Assistant, NPI 1407443161

OLIVIA KAY BRADSHAW (PA-C) is a healthcare provider. based in Indianapolis, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10003085A (IN). The NPI Number for OLIVIA KAY BRADSHAW (PA-C) is 1407443161

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA KAY BRADSHAW (PA-C)
NPI
1407443161
Phone
Not provided
Address
250 N SHADELAND AVE
Enumeration Date
29 December 2020
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122327447
Graduation Year
2020 (6 years ago)
PAC ID
8527472588
Group Practice PAC ID
4880848530
Professional Enrollment ID
I20210202003085
Address ID
IN478071648TE1436XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for OLIVIA KAY BRADSHAW (PA-C)

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 550 UNIVERSITY BLVD # UH1501

    INDIANAPOLIS, IN 462025149

    Phone: (317) 948-1310

    Fax: (317) 948-0503

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($22).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2021-02-02

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
I20210202003085IPhysician AssistantINTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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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: 4880848530View full group profile
NameSpecialtyState
Mental Health CounselorIN
Nurse PractitionerIN
-IN
Internal Medicine, Pediatric MedicineIN
Clinical Social WorkerIN
Nurse PractitionerIN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

Where can patients find OLIVIA KAY BRADSHAW (PA-C)'s NPI?
You can confirm OLIVIA KAY BRADSHAW (PA-C) with NPI 1407443161; it appears in the national provider directory.
Is OLIVIA KAY BRADSHAW (PA-C)'s NPI currently valid?
The extract we use shows OLIVIA KAY BRADSHAW (PA-C) as active.
What does OLIVIA KAY BRADSHAW (PA-C) treat or focus on?
Patients typically see OLIVIA KAY BRADSHAW (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does OLIVIA KAY BRADSHAW (PA-C) practice in Indiana?
You will see Indianapolis, Indiana on file for OLIVIA KAY BRADSHAW (PA-C) alongside any extra practice locations.
What if Indianapolis, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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