MRS. MARISA BRADBURY PMHNP
NPI 1093444093
Nurse Practitioner - Psychiatric/Mental Health in Ruther Glen, VA
About Mrs. Marisa Bradbury Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARISA BRADBURY PMHNP (NPI 1093444093) is an individual psychiatric/mental health provider in Ruther Glen, Virginia, licensed in Virginia (0024184442) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Marisa Bradbury Pmhnp 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22546 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUTHER GLEN, VA 22546
RUTHER GLEN, VA 22546
RUTHER GLEN, VA 22546
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 Marisa Bradbury's NPI number?
The NPI number for Marisa Bradbury is 1093444093. It was assigned to this individual provider in the NPPES registry on June 7, 2022.
Where is Marisa Bradbury located?
Marisa Bradbury practices at 5322 Ladysmith Rd, Ruther Glen, VA 22546. The listed phone number is (804) 547-4125.
What is Marisa Bradbury's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Marisa Bradbury enrolled in Medicare?
Yes. Marisa Bradbury 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.
When was this NPI record last updated?
The NPPES record for Marisa Bradbury was last updated on June 7, 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.
# Mrs. Marisa Bradbury, PMHNP · NPI 1093444093
Psychiatric/Mental Health physician in Ruther Glen, Virginia. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1093444093 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024184442 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5322 LADYSMITH RD, Ruther Glen, VA 22546-1325
- **Phone:** (804) 547-4125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093444093) · Data from the CMS NPPES public registry.