Sara Bradley, FNP
Individual provider Active NPI Family Nurse Practitioner · Post Falls, ID
NPI 1619664646 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1619664646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 74577 (ID)
- Practice address
- 1220 E Polston Ave
Post Falls, ID 83854-6056 - Phone
- (208) 773-1577
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Post Falls Family Medicine P.a.
Practice addresses (Care Compare)
1220 E Polston Ave
Post Falls, ID 83854-6056
Phone (208) 773-1577
Hospital & facility affiliations
- Northwest Specialty Hospital
- Kootenai Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230629003133 | ID | Practitioner - Nurse Practitioner | 7618336249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74577 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Falls Family Medicine P.a. | Current |
Accepting new patients |
Locations
1220 E Polston Ave
Post Falls, ID 83854
Phone (208) 773-1577
Interoperability endpoints
- sara.bradleyfnp.p3@direct.kootenai.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 74577 | ID | Yes |
Addresses
Primary practice location
1220 E Polston Ave
Post Falls, ID 83854-6056
Mailing address
2426 N Merrit CRK Loop Ste a
Coeur D Alene, ID 83814-4961
Other providers in Post Falls, ID
- David Roman Boyce
- Karen Boyd
- John Eldridge Boykin
- Chaney M Boyle
- Nicholas Wade Bozarth
- Breath of Life Health Care PLLC
- Mary Breyer
- Bridgewater Chiropractic and Soft Tissue Center PLLC
- Jennifer Lynn Briggs
- Paul F Brillhart
All providers in Post Falls, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.