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BRADLEY CHARLES ELY FNP-C
NPI 1922875061
Nurse Practitioner - Family in Visalia, CA

Active since December 08, 2023PECOS Enrolled
400 W MINERAL KING AVE, VISALIA, CA 93291(559) 624-2000 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Charles Ely Fnp-c NPPES

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

BRADLEY CHARLES ELY FNP-C (NPI 1922875061) is an individual family provider in Visalia, California, licensed in California (F09230132) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922875061
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRADLEY CHARLES ELYCredential: FNP-C
Location Address400 W MINERAL KING AVEVisalia, CA 93291-6237
Mailing Address1735 W Sedona AveVisalia, CA 93291-8380 · (559) 805-6221
Phone(559) 624-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1922875061 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 CA · F09230132
400 W MINERAL KING AVE, Visalia, CA 93291
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Charles Ely Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335624428
PECOS Enrollment IDI20260326002600
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

STEPHANIE SONGEY
Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
GURSHARNJIT KAUR M.D.
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-4820
GEORGE J MOUSSALLY MSN,ACNP-BC,CCRN
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
DR. MATTHEW KIM M.D.
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2207
VAN NANCY TRINH DO
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-6999
STEVEN ANDREW PLATO II M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2732
MS. DANA MARIE PAULSEN CRNA
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Tulare County (559) 624-2000
HEIDI KRISTEL CORBETT
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000

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 Bradley Ely's NPI number?

The NPI number for Bradley Ely is 1922875061. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Bradley Ely located?

Bradley Ely practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (559) 624-2000.

What is Bradley Ely's specialty?

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

Is Bradley Ely enrolled in Medicare?

Yes. Bradley Ely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Ely was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.