KISHA NICOLE BRADLEY FNP-C
NPI 1962995639
Nurse Practitioner - Family in Baltimore, MD
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 and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Kisha Nicole 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.
Medicare Billing Reassignment
Medicare enrollment records show Kisha Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 14 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.
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.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kisha Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Bradley reassigns Medicare benefits to Kinstead Provider Group, P.A. (Baltimore, MD). The 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 Kisha Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Kisha Nicole Bradley, FNP-C · NPI 1962995639
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 7, 2018.
## Identity
- **NPI:** 1962995639 (Entity type: Individual)
- **Enumerated:** June 7, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R220798 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1590
- **Phone:** (410) 328-7877 · **Fax:** (410) 328-1048
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kinstead Provider Group, P.A. (NPI 1568338473, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1962995639) · Data from the CMS NPPES public registry.