BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1922529080

BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) is a healthcare provider. based in Paducah, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. 209016137 (IL). The NPI Number for BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) is 1922529080

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C)
NPI
1922529080
Phone
(270) 228-0118
Address
4645 VILLAGE SQUARE DR STE C
Enumeration Date
29 June 2017
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189376200
Graduation Year
2017 (9 years ago)
PAC ID
2264708643
Group Practice PAC ID
9537076401
Professional Enrollment ID
I20210617000903
Address ID
IL628962402WE326XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C)

  • Village Square Drive, Concord, Paducah, McCracken County, Kentucky, 42001, United States

    PADUCAH, KY 420017448

    Phone: (270) 228-0118

    Fax: (270) 228-0120

    Type: Mailing

  • 5925 OLD HWY 60

    PADUCAH, KY 42001

    Phone: (270) 228-0118

    Fax: (270) 228-0120

    Type: Mailing

  • 5925 OLD HWY 60 WEST

    SUITE D

    PADUCAH, KY 42001

    Phone: (270) 228-0118

    Fax: (270) 228-0120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $2,521.

Total Amount is formed as General ($2,521) + Research ($0) + Ownership ($0) = $2,521.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($942).

Total Amount

$2,521

General + Research + Ownership

Payments

110

Total payment records

General Amount

$2,521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2018-02-07

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
I20180207000907INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 42001)

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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: 9537076401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNC
Physician AssistantNC
Internal MedicineSC
Orthopedic SurgeryMO
-CA
Physical Therapist In Private PracticeMD
Physician AssistantNC
Internal MedicineTN
Nurse PractitionerAR
-CO

Reviews

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Frequently asked questions

How is BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) identified in CMS data?
CMS-hosted NPPES data lists BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) with NPI 1922529080.
Can I rely on BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) being an active provider?
As of the registry snapshot, BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) is marked active.
What healthcare role does BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) hold?
Scheduling teams often label BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C)?
BRADLEY SHANE TAYLOR (MSN, APRN, FNP-C)'s geographic hint is Paducah, Kentucky in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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