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

Q: 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.

Q: 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.

Active since March 21, 2022PECOS Enrolled

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: August 09, 2026.

On this page

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 and maintains 2 additional practice locations.

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

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, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misti Dawn Bryant Bradshaw Np 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.

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 11

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

RANDY RANSHAWN MOORE PA-C

Physician Assistant