MS. KIMBERLY ROSS FONCHAM BRADLEY ARNP
NPI 1750773255
Nurse Practitioner - Family in Fort Pierce, FL

Active since February 21, 2015PECOS EnrolledAccepts Medicare Assignment
2940 S US HIGHWAY 1, STE C11, FORT PIERCE, FL 34982(772) 466-6855(772) 464-4963 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 16, 2022, Apr 16, 2021 (2 updates tracked since 2021).

About Ms. Kimberly Ross Foncham Bradley Arnp NPPES

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

MS. KIMBERLY ROSS FONCHAM BRADLEY ARNP (NPI 1750773255) is an individual family provider in Fort Pierce, Florida, licensed in Florida (ARNP 9187855) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750773255
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIMBERLY ROSS FONCHAM BRADLEYCredential: ARNP
Location Address2940 S US HIGHWAY 1, STE C11Fort Pierce, FL 34982-8143
Mailing Address2940 S Us Highway 1, Ste C11Fort Pierce, FL 34982-8143 · (772) 466-6855 · Fax (772) 464-4963
Fax(772) 464-4963
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 21, 2015
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1750773255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP 9187855
Also ListedRegistered NurseTaxonomy 163W00000X · License 9187855 (FL)
2940 S US HIGHWAY 1, Fort Pierce, FL 34982

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

Ms. Kimberly Ross Foncham Bradley Arnp 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 ID2860705548
PECOS Enrollment IDI20150723009451
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 Reassignments

3

Medicare enrollment records show Kimberly Foncham Bradley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
608 S US HIGHWAY 1
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
Urgent Care
13800 US HIGHWAY 1
Sebastian, FL 32958
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services157 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
171 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services36 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34982 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Kimberly Foncham Bradley's NPI number?

The NPI number for Kimberly Foncham Bradley is 1750773255. It was assigned to this individual provider in the NPPES registry on February 21, 2015.

Where is Kimberly Foncham Bradley located?

Kimberly Foncham Bradley practices at 2940 S Us Highway 1 Ste C11, Fort Pierce, FL 34982. The listed phone number is (772) 466-6855.

What is Kimberly Foncham Bradley's specialty?

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

Is Kimberly Foncham Bradley enrolled in Medicare?

Yes. Kimberly Foncham 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.

Which organizations bill Medicare for Kimberly Foncham Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Foncham Bradley reassigns Medicare benefits to 3 organizations: First Choice Healthcare And Counseling, LLC (Fort Pierce, FL), Medfast Urgent Care Centers, LLC (Sebastian, FL) and Inpatient Consultants Of Florida Inc (Tampa, FL). Each 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 Kimberly Foncham Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Foncham Bradley affiliated with any hospitals?

According to CMS data, Kimberly Foncham Bradley is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Foncham Bradley was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.