WILLIAM BRADLEY (FNP) – Family Nurse Practitioner, NPI 1649375940
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for WILLIAM BRADLEY (FNP)
420 SEMO DR
P O BOX 400
NEW MADRID, MO 638691734
Phone: (573) 748-2404
Fax: (573) 748-8929
Type: Mailing
Southland Drive, Sikeston, New Madrid County, Missouri, 63801, United States
SIKESTON, MO 638014403
Phone: (573) 427-1770
Fax: (573) 472-4050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,292.
Total Amount is formed as General ($1,292) + Research ($0) + Ownership ($0) = $1,292.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($234).
Total Amount
$1,292
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-02-14
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 |
|---|---|---|---|---|
| I20050214000184 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82947 | Blood glucose (sugar) level | 97 | 31 | $0 |
| 83036 | Hemoglobin a1c level | 78 | 29 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 53 | 44 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 40 | 40 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 17 | 16 | $0 |
Insurance plans in this area (ZIP 63869)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | AR | |
| Mental Health Counselor | MO | |
| Vascular Surgery, Family Practice, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| - | MO |
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