Individual provider Active NPI

Yolanda K Bradford, FNP-C

  • Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1477151272
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F12200431 Issued in IL
Practice address
101 Madison St
Oak Park, IL 60302-4278
Phone
(708) 486-2700
Fax
(708) 468-2702
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F12200431 IL Primary

Addresses

Primary practice location

101 Madison St
Oak Park, IL 60302-4278

Mailing address

101 Madison St
Oak Park, IL 60302-4278
Phone (708) 486-2700

Other names 1

  • Yolanda K Bradford Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220315002702 IL Practitioner - Nurse Practitioner 4082009766 Reassigns benefits to 2 organizations
I20251027003290 MO Practitioner - Nurse Practitioner 4082009766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Practice PLLCGroup PAC ID 4880137850, 16 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (855) 229-2191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12200431ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cimpar, S.C. CurrentSince Nov 13, 2021 Accepting new patients
Clear Practice PLLC CurrentSince Jul 1, 2025 Accepting new patients
Cimpar Pharmacy Oak Park, LLC PastSince Feb 13, 2022 Accepting new patients

Locations

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

101 Madison St
Oak Park, IL 60302
Phone (708) 859-8004

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

13900 Riverport Dr
Maryland Heights, MO 63043
Phone (314) 209-2700

7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800

2975 Regent Blvd
#201
Irving, TX 75063

Interoperability endpoints

  • Direct secure messaging: yolanda.bradford@768220391342084.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1477151272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024278",
            "telephone_number": "708-486-2700",
            "fax_number": "708-468-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024278",
            "telephone_number": "708-486-2700",
            "fax_number": "708-468-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "YOLANDA",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "F12200431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "BRADFORD",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.