Crystal Bradley, FNP-C, FPA - Nurse Practitioner in Glen Carbon, IL

Crystal Bradley, FNP-C, FPA is a Nurse Practitioner - Family based in Glen Carbon, Illinois. Crystal Bradley is licensed to practice in Illinois (license number 277.003238) and her current practice location is 4260 S State Route 159 Ste 1, Glen Carbon, Illinois. She can be reached at her office (for appointments etc.) via phone at (872) 713-7614.

NPI number for Crystal Bradley is 1306447263 and her current mailing address is 4335 Wagner Rd, Marine, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306447263.

Contact Information

Crystal Bradley, FNP-C, FPA
4260 S State Route 159 Ste 1,
Glen Carbon, IL 62034-3201
(872) 713-7614
Not Available

Map and Direction




Provider's Profile

Full NameCrystal Bradley
GenderFemale
SpecialityNurse Practitioner - Family
Location4260 S State Route 159 Ste 1, Glen Carbon, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306447263
  • Provider Enumeration Date: 11/05/2020
  • Last Update Date: 09/04/2024

Medical Identifiers

Medical identifiers for Crystal Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306447263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277.003238 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Bradley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Bradley, FNP-C, FPA
4335 Wagner Rd,
Marine, IL 62061-1253

Ph: (314) 306-5239
Crystal Bradley, FNP-C, FPA
4260 S State Route 159 Ste 1,
Glen Carbon, IL 62034-3201

Ph: (872) 713-7614

Reviews and Comments


Nurse Practitioner Nurses in Glen Carbon, IL

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Practice Location: 7 Cougar Dr Apt B, Glen Carbon, IL 62034
Phone: 434-363-6858    
Mrs. Kirby L Klostermann, FNP
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Kaitlyn Juilfs, NP
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Medicare: Medicare Enrolled
Practice Location: 4802 S. Il-159, Glen Carbon, IL 62034
Phone: 618-451-0500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.