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MISTI DAWN BRYANT BRADSHAW NP
NPI 1306595020
Nurse Practitioner - Psychiatric/Mental Health in Longview, TX

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
425 N FREDONIA ST, LONGVIEW, TX 75601(903) 758-2610(903) 758-7081 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Misti Dawn Bryant Bradshaw Np NPPES

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

MISTI DAWN BRYANT BRADSHAW NP (NPI 1306595020) is an individual psychiatric/mental health provider in Longview, Texas, licensed in Texas (1044452) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306595020
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISTI DAWN BRYANT BRADSHAWCredential: NP
Location Address425 N FREDONIA STLongview, TX 75601-6464
Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 758-7081
Phone(903) 758-2610
Fax(903) 758-7081
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 21, 2022
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1306595020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1044452
425 N FREDONIA ST, Longview, TX 75601
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1921 14th AveLongview, WA 98632-2316 · Phone (360) 423-0203
Location 21107 E Marshall AveLongview, TX 75601-5602 · Phone (903) 758-2610 · Fax (903) 758-7081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.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

Misti Dawn Bryant Bradshaw Np 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 ID4880066950
PECOS Enrollment IDI20230220000037
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 Reassignments

5

Medicare enrollment records show Misti Bryant Bradshaw reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Longview Wellness Center Inc
0.1 mi
Federally Qualified Health Center (FQHC)
410 S GREEN ST
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
NPI 1861298200 (903) 758-2610
Christus Good Shepherd Medical Center
22 mi
Anesthesiology
811 S WASHINGTON AVE
Marshall, TX 75670
  • Reassigned Medicare billing, Texas enrollment
  • 106 clinicians in this Medicare group
NPI 1760908404 (903) 927-6000
Med Management Associates
308 mi
Psychiatry
7272 WURZBACH RD, SUITE 601
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 97 clinicians in this Medicare group
NPI 1508233040 (888) 365-6271
Opgt Inc
440 mi
Psychiatry
3300 S FM 1788
Midland, TX 79706
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
NPI 1366864951 (337) 210-4477
Grow Healthcare Group PA
992 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 75601 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 15

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

RANDY RANSHAWN MOORE PA-C
Physician Assistant
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
KRYSTAL KELLI FETTING LCDC
Counselor (Addiction (Substance Use Disorder))
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
LONGVIEW WELLNESS CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
EMILI DEANE LIM LPC
Counselor (Professional)
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
LOUIS G. JOHNSTON LCDC
Counselor (Addiction (Substance Use Disorder))
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
LONGVIEW WELLNESS CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
GABRIELLE GISELLE MISENHEIMER CNM
Advanced Practice Midwife
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610
PHILIP JOHN CHIFULIO LCDC
Counselor (Addiction (Substance Use Disorder))
425 N FREDONIA ST
LONGVIEW, TX 75601
Gregg County (903) 758-2610

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 Misti Bryant Bradshaw's NPI number?

The NPI number for Misti Bryant Bradshaw is 1306595020. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Misti Bryant Bradshaw located?

Misti Bryant Bradshaw practices at 425 N Fredonia St, Longview, TX 75601. The listed phone number is (903) 758-2610.

What is Misti Bryant Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Misti Bryant Bradshaw enrolled in Medicare?

Yes. Misti Bryant 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 Misti Bryant Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misti Bryant Bradshaw reassigns Medicare benefits to 5 organizations: Longview Wellness Center Inc (Longview, TX), Christus Good Shepherd Medical Center (Marshall, TX), Med Management Associates (San Antonio, TX), Opgt Inc (Midland, TX) and Grow Healthcare Group PA (Miami, FL). 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 Misti Bryant Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misti Bryant Bradshaw accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Misti Bryant 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 Misti Bryant Bradshaw was last updated on August 26, 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.