Nicole Suzanne Bradshaw, FNP-C in Hannibal, MO

Nicole Suzanne Bradshaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hannibal, Missouri. Her current practice location is 6500 Hospital Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 629-3480.

Nicole Suzanne Bradshaw is licensed to practice in Missouri (license number 2018041855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053880112.

Contact Information

	Nicole Suzanne Bradshaw, FNP-C
	6500 Hospital Dr, Hannibal, MO 63401-6890
	(573) 629-3480
	(573) 629-3987

Map and Direction

Provider's Profile

Full Name	Nicole Suzanne Bradshaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6500 Hospital Dr, Hannibal, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053880112
Provider Enumeration Date: 11/19/2018
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 1759711468
Enrollment ID: I20200421001397

Medical Identifiers

Medical identifiers for Nicole Suzanne Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053880112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209019387 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	2018041855 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Suzanne Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Curana Health Of Illinois Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891400156 PECOS PAC ID: 1456724434 Enrollment ID: O20230223000366

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. Nicole Suzanne Bradshaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Suzanne Bradshaw, FNP-C 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 629-3480	Nicole Suzanne Bradshaw, FNP-C 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 629-3480

Reviews and Comments

Nurse Practitioner Nurses in Hannibal, MO

Elizabeth Anne Radcliff, MSN, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-5211 Fax: 573-248-5210
Mrs. Terry Shannon Thomas, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3751
Melissa L Reynolds, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3423
Lynn M Shima, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3300 Fax: 573-629-3314
Ms. Kim M Peters, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3116 Fax: 573-231-3714
Diane Berry Slough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3416

Nicole Suzanne Bradshaw, FNP-C - Medicare Nurse Practitioner in Hannibal, MO