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STACY BRADSHAW FNP
NPI 1073944773
Nurse Practitioner - Family in Houston, TX

Active since December 05, 2013PECOS Enrolled
6602 WINFIELD RD, HOUSTON, TX 77050(281) 628-2050 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacy Bradshaw Fnp NPPES

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

STACY BRADSHAW FNP (NPI 1073944773) is an individual family provider in Houston, Texas, licensed in Texas (AP130741) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073944773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY BRADSHAWCredential: FNP
Location Address6602 WINFIELD RDHouston, TX 77050-4704
Mailing Address6602 Winfield RdHouston, TX 77050-4704 · (281) 628-2050
Phone(281) 628-2050
Sole ProprietorNo
Enumeration DateDecember 5, 2013
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1073944773 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 TX · AP130741✔ Licensed in DE · LG-0000715
6602 WINFIELD RD, Houston, TX 77050
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Bradshaw Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Bradshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Houston
8.8 mi
Dietitian, Registered
6402 MARKET ST
Houston, TX 77020
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1124612718 (832) 393-4055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77050 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Stacy Bradshaw's NPI number?

The NPI number for Stacy Bradshaw is 1073944773. It was assigned to this individual provider in the NPPES registry on December 5, 2013.

Where is Stacy Bradshaw located?

Stacy Bradshaw practices at 6602 Winfield Rd, Houston, TX 77050. The listed phone number is (281) 628-2050.

What is Stacy Bradshaw's specialty?

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

Is Stacy Bradshaw enrolled in Medicare?

Yes. Stacy Bradshaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Bradshaw reassigns Medicare benefits to City Of Houston (Houston, TX). The 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 Stacy Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Bradshaw was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.