Individual provider Active NPI

Kathryn Anna Bradley, NP

  • Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1619619376
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0997392-NP Issued in CO
Practice address
9100 E Mineral Cir
Centennial, CO 80112-3401
Phone
(303) 561-5193
Fax
(720) 455-9546
NPI assigned
Apr 12, 2022
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 APN.0997392-NP CO Primary

Addresses

Primary practice location

9100 E Mineral Cir
Centennial, CO 80112-3401

Mailing address

9100 E Mineral Cir
Centennial, CO 80112-3401
Phone (303) 561-5193

Other identifiers 1

IdentifierTypeStateIssuer
9000204881MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220519000040 CO Practitioner - Nurse Practitioner 6507243219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assoc in Gastroenterology, PCGroup PAC ID 7416925052, 26 clinicians
CHI National Home Care, LLCGroup PAC ID 9032387626, 8 clinicians

Practice addresses (Care Compare)

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

9100 E Mineral Cir
Centennial, CO 80112-3401
Phone (303) 561-5193

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0997392-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
CHI National Home Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 29, 2023 Accepting new patients
CHI National Home Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 29, 2023 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 29, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 29, 2023 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

6031 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 635-7321

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 9

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1619619376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 E MINERAL CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123401",
            "telephone_number": "303-561-5193",
            "fax_number": "720-455-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 E MINERAL CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123401",
            "telephone_number": "303-561-5193",
            "fax_number": "720-455-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KATHRYN",
        "middle_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0997392-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000204881",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.