Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HALEY NICOLE BRADSHAW
NPI 1558134908
Nurse Practitioner - Family in Knoxville, TN

Active since November 06, 2023PECOS Enrolled
206 CEDAR LN, KNOXVILLE, TN 37912(865) 666-3640 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Jul 10, 2025, Nov 6, 2023 (3 updates tracked since 2023).

About Haley Nicole Bradshaw NPPES

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

HALEY NICOLE BRADSHAW (NPI 1558134908) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (35051) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1558134908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY NICOLE BRADSHAW
Location Address206 CEDAR LNKnoxville, TN 37912-3507
Mailing Address206 Cedar LnKnoxville, TN 37912-3507 · (865) 666-3640
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2023
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1558134908 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
License✔ Licensed in TN · 35051
206 CEDAR LN, Knoxville, TN 37912

Secondary Practice Locations 3

Location 1204 Glades RdGatlinburg, TN 37738-5658 · Phone (865) 436-2811
Location 22702 Jacksboro PikeJacksboro, TN 37757-4850 · Phone (423) 374-7775
Location 37147 Mountain Mist LnKnoxville, TN 37918-0933 · Phone (865) 227-4789

Accepted Insurance

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

Haley Nicole Bradshaw 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 ID7012412075
PECOS Enrollment IDI20250923000818
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 37912 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 4

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

Clinic/Center (Urgent Care)
206 CEDAR LN
KNOXVILLE, TN 37912
Nurse Practitioner (Family)
206 CEDAR LN
KNOXVILLE, TN 37912
Nurse Practitioner (Family)
206 CEDAR LN
KNOXVILLE, TN 37912
Nurse Practitioner (Family)
206 CEDAR LN
KNOXVILLE, TN 37912

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 Haley Bradshaw's NPI number?

The NPI number for Haley Bradshaw is 1558134908. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Haley Bradshaw located?

Haley Bradshaw practices at 206 Cedar Ln, Knoxville, TN 37912. The listed phone number is (865) 666-3640.

What is Haley Bradshaw's specialty?

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

Is Haley Bradshaw enrolled in Medicare?

Yes. Haley 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.

What insurance does Haley Bradshaw accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Haley 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 Haley Bradshaw was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.