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MRS. KACY LEE BRADSHAW NNP
NPI 1972816593
Nurse Practitioner - Neonatal, Critical Care in Salem, OR

Active since July 24, 2010PECOS Enrolled
939 OAK ST SE, SALEM, OR 97301(503) 814-3561(503) 814-3560 Get Directions Write a Review

NPPES record last updated: July 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kacy Lee Bradshaw Nnp NPPES

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

MRS. KACY LEE BRADSHAW NNP (NPI 1972816593) is an individual neonatal, critical care provider in Salem, Oregon, licensed in Oregon (201050101NP) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972816593
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMRS. KACY LEE BRADSHAWCredential: NNP
Location Address939 OAK ST SESalem, OR 97301-3901
Mailing AddressPo Box 14001Salem, OR 97309-5014 · (503) 561-2490
Phone(503) 814-3561
Fax(503) 814-3560
Sole ProprietorNo
Enumeration DateJuly 24, 2010
✔ NPI 1972816593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in OR · 201050101NP
939 OAK ST SE, Salem, OR 97301
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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)

Mrs. Kacy Lee Bradshaw Nnp 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 97301 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CINDY DAVIS NP, NEONATAL
Nurse Practitioner (Neonatal, Critical Care)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-2490
DR. MATTHEW C EGALKA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
939 OAK ST SE
SALEM, OR 97301
Marion County (035) 615-2005
CHERYL A LUGENBILL M.D.
Obstetrics & Gynecology
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-2229
KATHRYN KUENZI NP NEONATAL
Nurse Practitioner (Neonatal, Critical Care)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-2490
AIMEE ANN KWON M.D.
Pediatrics
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200
CHRISTOPHER M TRAUDT MD
Pediatrics (Neonatal-Perinatal Medicine)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200
STACY RENE MCCARTY WILSON M.D.
Obstetrics & Gynecology
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200

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 Kacy Bradshaw's NPI number?

The NPI number for Kacy Bradshaw is 1972816593. It was assigned to this individual provider in the NPPES registry on July 24, 2010.

Where is Kacy Bradshaw located?

Kacy Bradshaw practices at 939 Oak St SE, Salem, OR 97301. The listed phone number is (503) 814-3561.

What is Kacy Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Kacy Bradshaw enrolled in Medicare?

Yes. Kacy Bradshaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kacy Bradshaw was last updated on July 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.