BLUE E BRADLEY (CNM, ARNP) – Advanced Practice Midwife, NPI 1407005051

BLUE E BRADLEY (CNM, ARNP) is a healthcare provider. based in Okanogan, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials CNM, ARNP. They hold a License No. AP60035365 (WA). The NPI Number for BLUE E BRADLEY (CNM, ARNP) is 1407005051

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
BLUE E BRADLEY (CNM, ARNP)
NPI
1407005051
Phone
(509) 689-2525
Address
PO BOX 1340
Enumeration Date
18 September 2008
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094228632
Graduation Year
2008 (18 years ago)
PAC ID
5890976534
Group Practice PAC ID
9739076217
Professional Enrollment ID
I20110301000592
Address ID
WA988569863TW541XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for BLUE E BRADLEY (CNM, ARNP)

  • PO BOX 1340

    OKANOGAN, WA 988401340

    Phone: (509) 689-2525

    Type: Mailing

  • 541 W. SECOND AVENUE

    TWISP, WA 98856

    Phone: (509) 422-5700

    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: 2011-03-01

PECOS data refreshed: 2026-06-15

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
I20110301000592INurse PractitionerWATBD

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 98840)

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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: 9739076217View full group profile
NameSpecialtyState
Nurse PractitionerWA
Internal MedicineWA
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
-WA
Family PracticeWA
Mental Health CounselorWA
-WA
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does BLUE E BRADLEY (CNM, ARNP) have a public NPI I can cite?
Public records show BLUE E BRADLEY (CNM, ARNP) under NPI 1407005051.
Should I treat BLUE E BRADLEY (CNM, ARNP) as an active provider?
Patients and plans typically see BLUE E BRADLEY (CNM, ARNP) as active in the national extract.
What does the directory say BLUE E BRADLEY (CNM, ARNP) does?
Insurance directories may phrase it differently, but here BLUE E BRADLEY (CNM, ARNP) maps to Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BLUE E BRADLEY (CNM, ARNP)?
BLUE E BRADLEY (CNM, ARNP) is associated with Okanogan, Washington in the same public data insurers reference.
Can I export BLUE E BRADLEY (CNM, ARNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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