AUSTIN BRADLEY FNP-C
NPI 1649630294
Nurse Practitioner - Family in Carbondale, IL

Active since February 24, 2016PECOS EnrolledAccepts Medicare Assignment
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: April 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2016, Feb 24, 2016 (2 updates tracked since 2016).

About Austin Bradley Fnp-c NPPES

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

AUSTIN BRADLEY FNP-C (NPI 1649630294) is an individual family provider in Carbondale, Illinois, licensed in Illinois (209013889) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649630294
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAUSTIN BRADLEYCredential: FNP-C
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing Address405 W Jackson StCarbondale, IL 62901-1462 · (618) 549-0721
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 24, 2016
Last NPPES UpdateApril 2, 20162 updates tracked since enumeration
NPI 1649630294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209013889
405 W JACKSON ST, Carbondale, IL 62901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Austin Bradley Fnp-c 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 ID6305144098
PECOS Enrollment IDI20250422001241
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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 20

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

Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901

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 Austin Bradley's NPI number?

The NPI number for Austin Bradley is 1649630294. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Austin Bradley located?

Austin Bradley practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Austin Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Austin Bradley enrolled in Medicare?

Yes. Austin Bradley 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.

Is Austin Bradley affiliated with any hospitals?

According to CMS data, Austin Bradley is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center and Harrisburg Medical Center.

When was this NPI record last updated?

The NPPES record for Austin Bradley was last updated on April 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.