CALLIE BRADLEY (APRN) – Family Nurse Practitioner, NPI 1053761924
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CALLIE BRADLEY (APRN)
724 S Mason St
Harrisonburg, VA 228071050
Phone: (435) 559-4653
Type: Location
1840 E Market St
Harrisonburg, VA 228015100
Phone: (540) 432-3080
Type: Location
2308, 300 East, South Salt Lake, Salt Lake County, Utah, 84115, United States
SALT LAKE CITY, UT 841152806
Phone: (435) 559-4653
Type: Mailing
724 S MASON ST
HARRISONBURG, VA 228071050
Phone: (435) 559-4653
Type: Mailing
10, 2000 East, Salt Lake City, Salt Lake County, Utah, 84112, United States
SALT LAKE CITY, UT 841125880
Phone: (801) 581-3414
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Averitas Pharma Inc. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $23 |
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: 2024-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161025001935 | I | Nurse Practitioner | UT | TBD |
| I20181031001263 | I | Nurse Practitioner | AR | TBD |
| I20240212003936 | I | Nurse Practitioner | VA | 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 22807)
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Group practice members
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