MS. KRISTINA SHAE BRADLEY
NPI 1659244044
Nurse Practitioner - Family in Ormond Beach, FL
About Ms. Kristina Shae Bradley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTINA SHAE BRADLEY (NPI 1659244044) is an individual family provider in Ormond Beach, Florida, licensed in Florida (11042769) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Kristina Shae Bradley 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Orlando
Acute Care Hospitals · Orlando, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORMOND BEACH, FL 32174
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 Kristina Bradley's NPI number?
The NPI number for Kristina Bradley is 1659244044. It was assigned to this individual provider in the NPPES registry on September 24, 2025.
Where is Kristina Bradley located?
Kristina Bradley practices at 1245 W Granada Blvd, Ormond Beach, FL 32174. The listed phone number is (386) 317-9055.
What is Kristina Bradley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristina Bradley enrolled in Medicare?
Yes. Kristina 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 Kristina Bradley affiliated with any hospitals?
According to CMS data, Kristina Bradley is affiliated with Adventhealth Orlando.
When was this NPI record last updated?
The NPPES record for Kristina Bradley was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Ms. Kristina Shae Bradley · NPI 1659244044
Family physician in Ormond Beach, Florida. Individual provider, active in the CMS NPPES registry since September 24, 2025.
## Identity
- **NPI:** 1659244044 (Entity type: Individual)
- **Enumerated:** September 24, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11042769 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1245 W GRANADA BLVD, Ormond Beach, FL 32174-5914
- **Phone:** (386) 317-9055
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659244044) · Data from the CMS NPPES public registry.