NICOLE BRADFORD (FNP-BC, PMHNP-BC) – Family Nurse Practitioner, NPI 1750813713
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,476 NURSE PRACTITIONER in RI
Provider Addresses for NICOLE BRADFORD (FNP-BC, PMHNP-BC)
186 Providence St
West Warwick, RI 028932508
Phone: (401) 615-2800
Fax: (401) 615-2805
Type: Location
186, Providence Street, River Point, West Warwick, Kent County, Rhode Island, 02893, United States
WEST WARWICK, RI 028932508
Phone: (401) 615-2800
Fax: (401) 615-2805
Type: Location
425 LAKE AVE N
STE 101
WORCESTER, MA 016052073
Phone: (508) 753-3220
Fax: (508) 753-3224
Type: Mailing
11 ROBERT TONER BLVD STE 101
NORTH ATTLEBORO, MA 027631174
Phone: (508) 213-1326
Fax: (508) 213-1785
Type: Mailing
45 SCHOOL STREET
FLOOR 2, SUITE 5
TAUNTON, MA 027803222
Phone: (508) 213-1326
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-04-27
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 |
|---|---|---|---|---|
| I20170427000324 | I | Nurse Practitioner | RI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02893)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Neurology | RI | |
| Clinical Social Worker | RI | |
| Mental Health Counselor | RI | |
| Clinical Psychologist | RI | |
| Nurse Practitioner | RI | |
| - | MA | |
| - | RI | |
| Nurse Practitioner | RI | |
| Clinical Social Worker | RI | |
| Nurse Practitioner | RI |
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