BLYTHE BRADY (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1093469769

BLYTHE BRADY (MSN, APRN, FNP-C) is a healthcare provider. based in Ellicottville, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. APRN.CNP.0030251 (OH). The NPI Number for BLYTHE BRADY (MSN, APRN, FNP-C) is 1093469769

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BLYTHE BRADY (MSN, APRN, FNP-C)
NPI
1093469769
Phone
Not provided
Address
PO BOX 500
Enumeration Date
10 February 2022
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374407683
Graduation Year
2021 (5 years ago)
PAC ID
6507251998
Group Practice PAC ID
3870848088
Professional Enrollment ID
I20220322001677
Address ID
OH453564199PI280XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for BLYTHE BRADY (MSN, APRN, FNP-C)

  • PO BOX 500

    ELLICOTTVILLE, NY 147310500

    Phone:

    Type: Mailing

  • 3602 N MAIN ST

    DAYTON, OH 454052403

    Phone: (937) 963-1990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: PFIZER INC. ($43).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$43
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: 2022-03-22

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
I20220322001677INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1414$0
View full utilization report →

Insurance plans in this area (ZIP 14731)

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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: 3870848088View full group profile
NameSpecialtyState
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

How is BLYTHE BRADY (MSN, APRN, FNP-C) identified in CMS data?
CMS-hosted NPPES data lists BLYTHE BRADY (MSN, APRN, FNP-C) with NPI 1093469769.
Is BLYTHE BRADY (MSN, APRN, FNP-C) listed as active for patients and plans?
The listing shows BLYTHE BRADY (MSN, APRN, FNP-C) as active in the NPI system.
What taxonomy line describes BLYTHE BRADY (MSN, APRN, FNP-C)?
For research purposes, treat BLYTHE BRADY (MSN, APRN, FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does BLYTHE BRADY (MSN, APRN, FNP-C) serve?
BLYTHE BRADY (MSN, APRN, FNP-C)'s listing highlights Ellicottville, New York; more addresses can appear in NPPES.
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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