KRISTIN BRAVEBOY HADDOCK (APRN) – Family Nurse Practitioner, NPI 1053384073
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,299 NURSE PRACTITIONER in SC
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Provider Addresses for KRISTIN BRAVEBOY HADDOCK (APRN)
367, South Gulph Road, Gulph Mills Village, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
ATT: IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (803) 648-7774
Type: Mailing
Society Hill Drive, Aiken, Aiken County, South Carolina, 29803, United States
AIKEN, SC 298031731
Phone: (803) 648-7774
Fax: (803) 648-7490
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,232.
Total Amount is formed as General ($1,232) + Research ($0) + Ownership ($0) = $1,232.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($359).
Total Amount
$1,232
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,232
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $359 |
| Novo Nordisk Inc | $200 |
| GlaxoSmithKline, LLC. | $183 |
| Dexcom, Inc. | $51 |
| Lilly USA, LLC | $51 |
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: 2005-05-18
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 |
|---|---|---|---|---|
| I20050518001191 | I | Nurse Practitioner | SC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 706 | 515 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 153 | 153 | $0 |
| 81003 | Automated urinalysis test | 82 | 74 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 71 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 61 | $0 |
Insurance plans in this area (ZIP 19406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Orthopedic Surgery | SC | |
| Orthopedic Surgery | GA | |
| Sports Medicine | NC | |
| - | GA | |
| N E U R O L O G Y | FL | |
| - | PA | |
| Physical Medicine And Rehabilitation | MA | |
| N E U R O L O G Y | SC | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | SD |
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