MRS. CONSTANCE M BRADFORD (RN, FNP-C) – Family Nurse Practitioner, NPI 1003960907

MRS. CONSTANCE M BRADFORD (RN, FNP-C) is a healthcare provider. based in Jackson, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP-C. They hold a License No. R878491 (MS). The NPI Number for MRS. CONSTANCE M BRADFORD (RN, FNP-C) is 1003960907

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CONSTANCE M BRADFORD (RN, FNP-C)
NPI
1003960907
Phone
(601) 825-7280
Address
PO BOX 24116
Enumeration Date
22 January 2007
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6002132941
Group Practice PAC ID
8123360013
Professional Enrollment ID
I20150311001895
Address ID
MS396543702MO314XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MRS. CONSTANCE M BRADFORD (RN, FNP-C)

  • PO BOX 24116

    JACKSON, MS 392254116

    Phone: (601) 825-7280

    Fax: (601) 825-8130

    Type: Mailing

  • 202 JEFFERSON ST

    NEWHEBRON, MS 391403809

    Phone: (601) 825-7280

    Fax: (601) 825-8130

    Type: Location

  • 314 MAIN STREET

    SUITE B

    MONTICELLO, MS 39654

    Phone: (601) 393-1953

    Fax: (601) 393-1954

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($38).

Total Amount

$123

General + Research + Ownership

Payments

6

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2015-03-11

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
I20150311001895INurse PractitionerMSTBD

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 minutes692149$0
J1100Injection, dexamethasone sodium phosphate, 1 mg16559$0
96372Injection of drug or substance under skin or into muscle15672$0
36415Insertion of needle into vein for collection of blood sample15481$0
81002Urinalysis, manual test9961$0
View full utilization report →

Insurance plans in this area (ZIP 39225)

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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: 8123360013View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. CONSTANCE M BRADFORD (RN, FNP-C)'s NPI?
Yes. MRS. CONSTANCE M BRADFORD (RN, FNP-C) is listed with NPI 1003960907 in the public NPI dataset.
Can I rely on MRS. CONSTANCE M BRADFORD (RN, FNP-C) being an active provider?
As of the registry snapshot, MRS. CONSTANCE M BRADFORD (RN, FNP-C) is marked active.
What healthcare role does MRS. CONSTANCE M BRADFORD (RN, FNP-C) hold?
Scheduling teams often label MRS. CONSTANCE M BRADFORD (RN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. CONSTANCE M BRADFORD (RN, FNP-C) list a practice location?
Patients near Jackson, Mississippi may find MRS. CONSTANCE M BRADFORD (RN, FNP-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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