MRS. KIMBERLY E BRADLEY (APRN) – Family Nurse Practitioner, NPI 1104801166
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for MRS. KIMBERLY E BRADLEY (APRN)
83 WELLNESS WAY
BENTON, KY 420257156
Phone: (270) 527-8601
Fax: (270) 527-9615
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452636961
Phone: (513) 981-5130
Fax: (513) 981-5015
Type: Mailing
100 Clint Hill Blvd Ste 100
Paducah, KY 420016771
Phone: (270) 441-4357
Fax: (270) 441-4132
Type: Location
83 WELLNESS WAY STE 101&201
BENTON, KY 420257156
Phone:
Fax: (513) 981-5015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $577.
Total Amount is formed as General ($577) + Research ($0) + Ownership ($0) = $577.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: ABBVIE INC. ($225).
Total Amount
$577
General + Research + Ownership
Payments
34
Total payment records
General Amount
$577
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $225 |
| Novo Nordisk Inc | $53 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $47 |
| Lilly USA, LLC | $46 |
| Amgen Inc. | $34 |
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: 2007-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070212000375 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 352 | 197 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 90 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 112 | 25 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 100 | 23 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 61 | 36 | $0 |
Insurance plans in this area (ZIP 42025)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Internal Medicine, Pediatric Medicine | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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