SUZANNE N BRADSHAW MA, LPC
NPI 1053750877
Counselor - Professional in Nixa, MO

Active since June 14, 2013PECOS EnrolledAccepts Medicare Assignment
560 W MOUNT VERNON ST, NIXA, MO 65714(417) 413-1593 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Jun 7, 2023, Sep 29, 2021 (3 updates tracked since 2021).

About Suzanne N Bradshaw Ma, Lpc NPPES

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

SUZANNE N BRADSHAW MA, LPC (NPI 1053750877) is an individual professional provider in Nixa, Missouri, licensed in Missouri (2013026561) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053750877
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUZANNE N BRADSHAWCredential: MA, LPC
Location Address560 W MOUNT VERNON STNixa, MO 65714-9681
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 14, 2013
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1053750877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2013026561
560 W MOUNT VERNON ST, Nixa, MO 65714

Other Names 1

Former Name (1)Suzanne N Brill

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suzanne N Bradshaw Ma, Lpc 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.

PECOS PAC ID7315395324
PECOS Enrollment IDI20231201001635
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.

Other Providers at the Same Location NPPES 8

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

Psychologist (Clinical)
560 W MOUNT VERNON ST
NIXA, MO 65714
Psychologist
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Social Worker (Clinical)
560 W MOUNT VERNON ST
NIXA, MO 65714
Marriage & Family Therapist
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714

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 Suzanne Bradshaw's NPI number?

The NPI number for Suzanne Bradshaw is 1053750877. It was assigned to this individual provider in the NPPES registry on June 14, 2013. The provider is also known as Suzanne N Brill.

Where is Suzanne Bradshaw located?

Suzanne Bradshaw practices at 560 W Mount Vernon St, Nixa, MO 65714. The listed phone number is (417) 413-1593.

What is Suzanne Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Suzanne Bradshaw enrolled in Medicare?

Yes. Suzanne Bradshaw 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.

What insurance does Suzanne Bradshaw accept?

Health plans from UnitedHealthcare list Suzanne Bradshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Bradshaw was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.