TIFFANI L BRADBURY (FNP) – Family Nurse Practitioner, NPI 1538655535

TIFFANI L BRADBURY (FNP) is a healthcare provider. based in Saint joseph, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 53-82316-092 (KS). The NPI Number for TIFFANI L BRADBURY (FNP) is 1538655535

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANI L BRADBURY (FNP)
NPI
1538655535
Phone
(816) 676-1300
Address
220 S WOODBINE RD
Enumeration Date
3 July 2018
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7857422131
Graduation Year
2018 (8 years ago)
PAC ID
0143572149
Group Practice PAC ID
9032007364
Professional Enrollment ID
I20230919001224
Address ID
KS664342326HI300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for TIFFANI L BRADBURY (FNP)

  • 220, South Woodbine Road, St. Joseph, Buchanan County, Missouri, 64506, United States

    SAINT JOSEPH, MO 645063447

    Phone: (816) 676-1300

    Fax: (816) 676-1400

    Type: Mailing

  • 5001, Lake Avenue, St. Joseph, Buchanan County, Missouri, 64504, United States

    SAINT JOSEPH, MO 645041170

    Phone: (816) 238-7788

    Fax: (816) 676-1400

    Type: Location

  • 305 Rhode Island St

    King City, MO 644639622

    Phone: (660) 535-4347

    Type: Location

  • 101 Cross St

    Hamilton, MO 646448311

    Phone: (816) 583-2151

    Type: Location

  • 5001 Lake Ave

    Saint Joseph, MO 645041170

    Phone: (816) 238-7788

    Fax: (816) 676-1400

    Type: Location

  • 707 Victory Ln

    Cainsville, MO 646329506

    Phone: (660) 893-5750

    Type: Location

  • 1515 Saint Joseph Ave

    Saint Joseph, MO 645052631

    Phone: (816) 233-3338

    Type: Location

  • 503 S 6th St

    Saint Joseph, MO 645012224

    Phone: (816) 233-8536

    Type: Location

  • 1303 State St

    Mound City, MO 644701717

    Phone: (660) 442-5464

    Type: Location

  • 313 S US Highway 169

    Gower, MO 644549116

    Phone: (816) 424-6427

    Type: Location

  • 803 W US Highway 71

    Savannah, MO 644851151

    Phone: (816) 324-3121

    Type: Location

  • 2303 Village Dr

    Saint Joseph, MO 645064954

    Phone: (816) 232-6818

    Type: Location

  • 109 N Main St

    Braymer, MO 646249325

    Phone: (660) 645-2218

    Type: Location

  • 300 UTAH ST

    HIAWATHA, KS 664342326

    Phone: (785) 742-2131

    Fax: (785) 742-6558

    Type: Mailing

  • 2303 VILLAGE DR

    SAINT JOSEPH, MO 645064954

    Phone: (816) 307-4893

    Fax: (816) 232-2991

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: ABBVIE INC. ($161).

Total Amount

$220

General + Research + Ownership

Payments

11

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

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: 2023-09-19

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
I20230919001224INurse PractitionerKSTBD

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
81003Automated urinalysis test3532$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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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: 9032007364View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)KS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Physician AssistantKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
-KS

Reviews

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Frequently asked questions

Where can patients find TIFFANI L BRADBURY (FNP)'s NPI?
You can confirm TIFFANI L BRADBURY (FNP) with NPI 1538655535; it appears in the national provider directory.
Is TIFFANI L BRADBURY (FNP) active in the national directory?
TIFFANI L BRADBURY (FNP)'s public NPI profile is in an active state.
Does TIFFANI L BRADBURY (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TIFFANI L BRADBURY (FNP). Clinical services aligned with this taxonomy classification.
Does TIFFANI L BRADBURY (FNP) practice in Missouri?
You will see Saint Joseph, Missouri on file for TIFFANI L BRADBURY (FNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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