MICHAEL BRADLEY NELSON (M.D., M.P.H.) – Pediatrics Physician, NPI 1477971141
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
167 PEDIATRIC MEDICINE in KS
Provider Addresses for MICHAEL BRADLEY NELSON (M.D., M.P.H.)
4000 Cambridge St
Kansas City, KS 661602620
Phone: (913) 588-6300
Fax: (913) 274-3515
Type: Location
1000 E 101st Ter
Kansas City, MO 641313366
Phone: (913) 588-3402
Fax: (913) 574-2891
Type: Location
2000 OLATHE # 3B
KANSAS CITY, KS 661602620
Phone: (913) 588-5000
Type: Location
2000 OLATHE BLVD
SUITE 3B
KANSAS CITY, KS 661602620
Phone: (913) 588-6300
Fax: (913) 274-3515
Type: Location
2106 OLATHE BLVD MAILSTOP 4004
KANSAS CITY, KS 661600001
Phone: (913) 588-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-03-05
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 |
|---|---|---|---|---|
| I20200924001428 | I | Pediatric Medicine | KS | TBD |
| I20250305001883 | I | Pediatric Medicine | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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