SUSAN BRADSHAW (APRN FNP) – Family Nurse Practitioner, NPI 1366893299
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 SUSAN BRADSHAW (APRN FNP)
124 DOWELL ROAD
RUSSELL SPRINGS, KY 42642
Phone: (270) 866-2440
Fax: (270) 866-2442
Type: Mailing
31 MARK SHOPVILLE RD
SOMERSET, KY 425037533
Phone: (606) 636-4214
Fax: (606) 636-4215
Type: Location
100, Nancy Street, Suffolk County, New York, 11704, United States
NANCY, KY 425440100
Phone: (606) 636-4214
Fax: (606) 636-4215
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $700.
Total Amount is formed as General ($700) + Research ($0) + Ownership ($0) = $700.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($159).
Total Amount
$700
General + Research + Ownership
Payments
42
Total payment records
General Amount
$700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $159 |
| Abbott Laboratories | $91 |
| Lilly USA, LLC | $79 |
| Bayer Healthcare Pharmaceuticals Inc. | $67 |
| GlaxoSmithKline, LLC. | $59 |
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: 2016-09-19
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 |
|---|---|---|---|---|
| I20160919002599 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42642)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| - | KY | |
| Family Practice | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| N E U R O L O G Y | KY |
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