KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) – Orthopedic Registered Nurse, NPI 1497239891

KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, AGACNP-BC,RNFA. They hold a License No. 804593 (TX). The NPI Number for KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) is 1497239891

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA)
NPI
1497239891
Phone
(409) 838-0346
Address
3650 LAUREL ST
Enumeration Date
20 September 2018
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
9436498987
Group Practice PAC ID
1951323385
Professional Enrollment ID
I20210507002131
Address ID
TX777072216BE3650XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA)

  • 3650 LAUREL ST

    BEAUMONT, TX 777072216

    Phone: (409) 838-0346

    Fax: (409) 813-3546

    Type: Mailing

  • 3460 N. DOWLEN RD

    BEAUMONT, TX 777067690

    Phone: (409) 838-0346

    Fax: (409) 839-3720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $2,234.

Total Amount is formed as General ($2,234) + Research ($0) + Ownership ($0) = $2,234.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medinc of Texas ($681).

Total Amount

$2,234

General + Research + Ownership

Payments

30

Total payment records

General Amount

$2,234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-05-07

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
I20210507002131INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77707)

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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: 1951323385View full group profile
NameSpecialtyState
Physician AssistantTX
Orthopedic Surgery, Hand Surgery, Hand Surgery, Orthopedic SurgeryTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Family PracticeTX
Orthopedic SurgeryTX
Orthopedic Surgery, Sports MedicineTX
Occupational Therapist In Private PracticeTX
-TX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

What number should I use to identify KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) for billing?
Administrative and clinical systems typically use NPI 1497239891 for KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA).
Quick check: is KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) active?
Public NPPES data shows KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) with an active NPI status right now.
What services align with KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA)'s listing?
KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA)'s public classification highlights Orthopedic Registered Nurse. Clinical services aligned with this taxonomy classification.
Is KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) tied to Beaumont, Texas?
If you are local to Beaumont, Texas, KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA) may be relevant to your search.
Who maintains KRISTEN BRADLEY (APRN, AGACNP-BC,RNFA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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