BRADLEY E PROBST (MN FNP) – Family Nurse Practitioner, NPI 1487666111

BRADLEY E PROBST (MN FNP) is a healthcare provider. based in Federal way, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials MN FNP. The NPI Number for BRADLEY E PROBST (MN FNP) is 1487666111

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY E PROBST (MN FNP)
NPI
1487666111
Phone
(253) 838-6180
Address
505 S 336TH ST
Enumeration Date
12 August 2006
Last Update Date
7 March 2008

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034184222
Graduation Year
2006 (20 years ago)
PAC ID
6002812443
Group Practice PAC ID
1759328842
Professional Enrollment ID
I20061009000170
Address ID
OR970564023SC51377RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

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Provider Addresses for BRADLEY E PROBST (MN FNP)

  • Mortgage Express, 505, South 336th Street, Federal Way, King County, Washington, 98003-5402, United States

    SUITE 600

    FEDERAL WAY, WA 980036328

    Phone: (253) 838-6180

    Fax: (253) 838-6418

    Type: Mailing

  • Tuality Community Hospital, 335, Southeast 8th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States

    HILLSBORO, OR 971234246

    Phone: (503) 681-1176

    Fax: (503) 681-1606

    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: 2006-10-09

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
I20061009000170INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6456$0
99213Established patient office or other outpatient visit, 20-29 minutes3531$0
81003Automated urinalysis test3127$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 98003)

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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: 1759328842View full group profile

Reviews

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Frequently asked questions

Does BRADLEY E PROBST (MN FNP) have a public NPI I can cite?
Public records show BRADLEY E PROBST (MN FNP) under NPI 1487666111.
Does the public listing show BRADLEY E PROBST (MN FNP) as active?
BRADLEY E PROBST (MN FNP)'s NPI record reflects an active status in NPPES.
What type of care does BRADLEY E PROBST (MN FNP) provide?
BRADLEY E PROBST (MN FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to BRADLEY E PROBST (MN FNP)?
BRADLEY E PROBST (MN FNP) shows a connection to Federal Way, Washington in registry-derived data.
Who maintains BRADLEY E PROBST (MN FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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