1. Home
  2. Directory
  3. Missouri
  4. Hannibal
  5. Nurse Practitioner
  6. NPI Profile

NICOLE SUZANNE BRADSHAW FNP-C
NPI 1053880112
Nurse Practitioner - Family in Hannibal, MO

Active since November 19, 2018PECOS EnrolledAccepts Medicare Assignment
6500 HOSPITAL DR, HANNIBAL, MO 63401(573) 629-3480(573) 629-3987 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2024, Jun 7, 2019, Nov 19, 2018 (3 updates tracked since 2018).

About Nicole Suzanne Bradshaw Fnp-c NPPES

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

NICOLE SUZANNE BRADSHAW FNP-C (NPI 1053880112) is an individual family provider in Hannibal, Missouri, licensed in Missouri (2018041855) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053880112
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE SUZANNE BRADSHAWCredential: FNP-C
Location Address6500 HOSPITAL DRHannibal, MO 63401-6890
Mailing Address6500 Hospital DrHannibal, MO 63401-6890 · (573) 629-3480 · Fax (573) 629-3987
Phone(573) 629-3480
Fax(573) 629-3987
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 19, 2018
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1053880112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MO · 2018041855✔ Licensed in IL · 209019387
6500 HOSPITAL DR, Hannibal, MO 63401
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Suzanne Murphy Msn, Fnp-c

Secondary Practice Locations 3

Location 1400 S Center StShelbina, MO 63468-1404 · Phone (573) 588-4131 · Fax (573) 588-4876
Location 23650 Stardust DrHannibal, MO 63401-2411 · Phone (573) 231-0660 · Fax (573) 231-0687
Location 38 Town Center DrBowling Green, MO 63334-2803 · Phone (573) 324-2241 · Fax (573) 324-9854

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Nicole Suzanne Bradshaw 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.

PECOS PAC ID1759711468
PECOS Enrollment IDI20200421001397, I20250122003226
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

MEGAN ELIZABETH KRETZ MSN, FNP-BC
Nurse Practitioner (Family)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3441
ADAM SAMARITONI D.O.
Family Medicine
6500 HOSPITAL DR, FAMILY MEDICINE
HANNIBAL, MO 63401
Marion County (573) 629-3440
JENNIFER LYNN MINOFF MD
Internal Medicine (Pulmonary Disease)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3500
MELISSA L REYNOLDS
Nurse Practitioner (Gerontology)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3440
JOHN FLO
Psychiatry & Neurology (Psychiatry)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3503
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Clinic/Center (Rural Health)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3440
DR. JOHN PAUL GREVING DO
Internal Medicine
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3400
KAYTLN BAKER FNP-C
Nurse Practitioner (Family)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Marion County (573) 629-3481

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 Nicole Bradshaw's NPI number?

The NPI number for Nicole Bradshaw is 1053880112. It was assigned to this individual provider in the NPPES registry on November 19, 2018. The provider is also known as Nicole Suzanne Murphy Msn, Fnp-C.

Where is Nicole Bradshaw located?

Nicole Bradshaw practices at 6500 Hospital Dr, Hannibal, MO 63401. The listed phone number is (573) 629-3480.

What is Nicole Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Bradshaw enrolled in Medicare?

Yes. Nicole 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 Nicole Bradshaw accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole 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.

Is Nicole Bradshaw affiliated with any hospitals?

According to CMS data, Nicole Bradshaw is affiliated with Hannibal Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Bradshaw was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.