KISHA NICOLE BRADLEY FNP-C
NPI 1962995639
Nurse Practitioner - Family in Baltimore, MD

Q: What is Kisha Bradley's NPI number?

The NPI number for Kisha Bradley is 1962995639. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Q: What is Kisha Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kisha Bradley was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 07, 2018PECOS Enrolled

22 S GREENE ST, BALTIMORE, MD 21201(410) 328-7877(410) 328-1048 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2018, Jun 16, 2018 (2 updates tracked since 2018).

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About Kisha Nicole Bradley Fnp-c NPPES

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

KISHA NICOLE BRADLEY FNP-C (NPI 1962995639) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R220798) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962995639

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKISHA NICOLE BRADLEYCredential: FNP-C

Location Address22 S GREENE STBaltimore, MD 21201-1590

Mailing AddressPo Box 64442Baltimore, MD 21264-4442 · (410) 328-8040 · Fax (443) 462-3514

Phone(410) 328-7877

Fax(410) 328-1048

Sole ProprietorNo

Enumeration DateJune 7, 2018

Last NPPES UpdateOctober 3, 20182 updates tracked since enumeration

✔ NPI 1962995639 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 MD · R220798

22 S GREENE ST, Baltimore, MD 21201

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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)

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

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 21201 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

DR. LEONARD ANANG SOWAH M.D.

Internal Medicine

22 S GREENE ST
BALTIMORE, MD 21201

Baltimore City (410) 706-4619

VISHAL BHATNAGAR MD

Student in an Organized Health Care Education/Training Program

22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201

Baltimore City (410) 328-6110

NANCE J FOX P.A.-C

Physician Assistant (Medical)

22 S GREENE ST, G2K36
BALTIMORE, MD 21201

Baltimore City (410) 328-1170

HILARY TAMARA WOLF MD

Pediatrics (Adolescent Medicine)

22 S GREENE ST
BALTIMORE, MD 21201

Baltimore City (410) 328-7373

MS. LINDSAY BREAM O'MEARA CRNP

Nurse Practitioner (Acute Care)

22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201

Baltimore City (410) 328-3365

NORA T OLIVER M.D., M.P.H.

Student in an Organized Health Care Education/Training Program

22 S GREENE ST, N3E09
BALTIMORE, MD 21201

Baltimore City (410) 328-5756

SHOSHANA JO WEINER

Internal Medicine

22 S GREENE ST
BALTIMORE, MD 21201

Baltimore City (617) 214-1332

JENNA VANLIERE CANZONIERO M.D.

Internal Medicine

22 S GREENE ST, N3E09
BALTIMORE, MD 21201

Baltimore City (410) 328-5756

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 Kisha Bradley's NPI number?

The NPI number for Kisha Bradley is 1962995639. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Kisha Bradley located?

Kisha Bradley practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-7877.

What is Kisha Bradley's specialty?

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

Is Kisha Bradley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kisha Bradley was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.