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KELLY BRADFORD
NPI 1386906394
Social Worker - Clinical in Independence, KS

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
1101 DONALD AVE, INDEPENDENCE, KS 67301(620) 331-1748 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Bradford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BRADFORD (NPI 1386906394) is an individual clinical provider in Independence, Kansas, licensed in Kansas (4705) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386906394
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY BRADFORD
Location Address1101 DONALD AVEIndependence, KS 67301-2001
Mailing AddressPo Box 688Independence, KS 67301-0688
Phone(620) 331-1748
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateAugust 28, 2017
✔ NPI 1386906394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KS · 4705
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 995 (KS)
1101 DONALD AVE, Independence, KS 67301
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Other Identifiers 1

Medicaid200875750AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Bradford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769755057
PECOS Enrollment IDI20170908000209
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Bradford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Four County Mental Health Center Inc
2.2 mi
Mental Health (Including Community Mental Health Center)
3354 HIGHWAY 160
Independence, KS 67301
  • Reassigned Medicare billing, Kansas enrollment
  • 38 clinicians in this Medicare group
NPI 1841290251 (620) 331-1748

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $161.67
Typical copayment $0.00 (range $13.25 – $40.41)
Most-billed visit code NA
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONJA MCCOLLAM
Social Worker
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
JANET WEST
Social Worker (Clinical)
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
CALEB JAMES KATSBULAS LMSW
Social Worker
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-3131
TIFFANY NEELY
Counselor (Professional)
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 332-5195
GENA LYNN KASTLER
Counselor (Professional)
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
LEAH TUCKER
Social Worker
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
MS. MARIE ELAINE INGRAM LSCSW
Social Worker (Clinical)
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-3481
MICHELE VANWINKLE
Social Worker
1101 DONALD AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-3131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bradford's NPI number?

The NPI number for Kelly Bradford is 1386906394. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Kelly Bradford located?

Kelly Bradford practices at 1101 Donald Ave, Independence, KS 67301. The listed phone number is (620) 331-1748.

What is Kelly Bradford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Bradford enrolled in Medicare?

Yes. Kelly Bradford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Bradford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bradford reassigns Medicare benefits to Four County Mental Health Center Inc (Independence, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bradford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Bradford accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Kelly Bradford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Bradford was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.