Individual provider Active NPI

Shelley Bradley, APRN

  • Family Nurse Practitioner
  • McPherson, KS
National Provider Identifier
1528439601
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76966 Issued in KS
Practice address
1000 Hospital Dr
McPherson, KS 67460-2326
Phone
(620) 241-7400
Fax
(620) 798-2613
NPI assigned
Oct 14, 2015
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76966 KS Primary

Addresses

Primary practice location

1000 Hospital Dr
McPherson, KS 67460-2326

Mailing address

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcc-direct@mcpmedsurg.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151028000017 KS Practitioner - Nurse Practitioner 7315256674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Care Plus of Overland Park LLCGroup PAC ID 8123153939, 26 clinicians

Practice addresses (Care Compare)

1100 N 4TH St
Leavenworth, KS 66048-1572
Phone (913) 297-9945

1261 N Maize Rd
Wichita, KS 67212-4302
Phone (316) 773-2733

2001 N Rock Rd
Derby, KS 67037-3795
Phone (316) 788-1437

3006 S Seneca St
Wichita, KS 67217-3210
Phone (316) 522-4635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76966KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Care Plus of Overland Park, LLC CurrentSince Mar 23, 2022 Accepting new patients
Emergent Care Plus, LLC Past Accepting new patients
Hutchinson Regional Medical Center, Inc. Past Accepting new patients

Locations

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

2770 S 9th St
Salina, KS 67401
Phone (785) 827-3551

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1528439601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602326",
            "telephone_number": "620-241-7400",
            "fax_number": "620-798-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602326",
            "telephone_number": "620-241-7400",
            "fax_number": "620-798-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SHELLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.