SUSAN BRADSHAW (APRN FNP) – Family Nurse Practitioner, NPI 1366893299

SUSAN BRADSHAW (APRN FNP) is a healthcare provider. based in Russell springs, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN FNP. They hold a License No. 3010143 (KY). The NPI Number for SUSAN BRADSHAW (APRN FNP) is 1366893299

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN BRADSHAW (APRN FNP)
NPI
1366893299
Phone
(270) 866-2440
Address
124 DOWELL ROAD
Enumeration Date
22 June 2016
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708651002
Graduation Year
2015 (11 years ago)
PAC ID
9133416142
Group Practice PAC ID
6204887243
Professional Enrollment ID
I20160919002599
Address ID
KY426428533RU169XXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160919002599INurse PractitionerKYTBD

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 42642)

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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: 6204887243View full group profile
NameSpecialtyState
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Internal MedicineKY
Nurse PractitionerKY
Family PracticeKY
-KY
Family PracticeKY
Certified Registered Nurse Anesthetist (Crna)KY
N E U R O L O G YKY

Reviews

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Frequently asked questions

What is the registry number for SUSAN BRADSHAW (APRN FNP)?
The registry entry for SUSAN BRADSHAW (APRN FNP) shows NPI 1366893299.
Does the public listing show SUSAN BRADSHAW (APRN FNP) as active?
SUSAN BRADSHAW (APRN FNP)'s NPI record reflects an active status in NPPES.
What type of care does SUSAN BRADSHAW (APRN FNP) provide?
SUSAN BRADSHAW (APRN FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUSAN BRADSHAW (APRN FNP)?
SUSAN BRADSHAW (APRN FNP) is associated with Russell Springs, Kentucky in the same public data insurers reference.
Why is information missing for SUSAN BRADSHAW (APRN FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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