NICOLE SUZANNE BRADSHAW FNP-C
NPI 1053880112
Nurse Practitioner - Family in Hannibal, MO
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
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Bradshaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hannibal, MO 63401
- Reassigned Medicare billing, Missouri enrollment
- 149 clinicians in this Medicare group
Chicago, IL 60604
- Reassigned Medicare billing, Illinois enrollment
- 73 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MOPhysician 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.
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.
HANNIBAL, MO 63401
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.
Which organizations bill Medicare for Nicole Bradshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bradshaw reassigns Medicare benefits to 2 organizations: Hannibal Regional Healthcare System, Inc (Hannibal, MO) and Curana Health Of Illinois PC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Bradshaw accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Nicole Suzanne Bradshaw, FNP-C · NPI 1053880112
Family physician in Hannibal, Missouri. Individual provider, active in the CMS NPPES registry since November 19, 2018.
## Identity
- **NPI:** 1053880112 (Entity type: Individual)
- **Enumerated:** November 19, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2018041855 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 HOSPITAL DR, Hannibal, MO 63401-6890
- **Phone:** (573) 629-3480 · **Fax:** (573) 629-3987
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hannibal Regional Healthcare System, Inc (NPI 1134311392, Hannibal, MO); Curana Health Of Illinois PC (NPI 1891400156, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053880112) · Data from the CMS NPPES public registry.