MARISA A BRADSHAW FNP-C
NPI 1922831429
Nurse Practitioner - Family in Nashville, TN

Active since August 21, 2024PECOS Enrolled
624 GRASSMERE PARK STE 15, NASHVILLE, TN 37211(877) 726-0776 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Sep 4, 2024, Aug 21, 2024 (3 updates tracked since 2024).

About Marisa A Bradshaw Fnp-c NPPES

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

MARISA A BRADSHAW FNP-C (NPI 1922831429) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (37025) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922831429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA A BRADSHAWCredential: FNP-C
Location Address624 GRASSMERE PARK STE 15Nashville, TN 37211-3671
Mailing Address624 Grassmere Park Ste 15Nashville, TN 37211-3671 · (877) 726-0776
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2024
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1922831429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 37025
Also ListedRegistered NurseTaxonomy 163W00000X · License 227907 (TN)
624 GRASSMERE PARK STE 15, Nashville, TN 37211

Secondary Practice Locations 3

Location 1800 Weatherly Dr Ste 102Clarksville, TN 37043-8957 · Phone (877) 726-0776
Location 2117 N Hickory Ave Ste 201Cookeville, TN 38501-3936 · Phone (877) 726-0776
Location 3230 E James Campbell Blvd Ste 111Columbia, TN 38401 · Phone (877) 726-0776

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa A Bradshaw Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779052352
PECOS Enrollment IDI20260512004609
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 Marisa Bradshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infusion Therapy
624 GRASSMERE PARK STE 22A
Nashville, TN 37211
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group

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 37211 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 3

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

Nurse Practitioner (Family)
624 GRASSMERE PARK STE 15
NASHVILLE, TN 37211
Nurse Practitioner (Family)
624 GRASSMERE PARK STE 15
NASHVILLE, TN 37211
Nurse Practitioner (Psychiatric/Mental Health)
624 GRASSMERE PARK STE 15
NASHVILLE, TN 37211

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 Bradshaw's NPI number?

The NPI number for Marisa Bradshaw is 1922831429. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Marisa Bradshaw located?

Marisa Bradshaw practices at 624 Grassmere Park Ste 15, Nashville, TN 37211. The listed phone number is (877) 726-0776.

What is Marisa Bradshaw's specialty?

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

Is Marisa Bradshaw enrolled in Medicare?

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

Which organization bills Medicare for Marisa Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Bradshaw reassigns Medicare benefits to Option Care Infusion Services, LLC. (Nashville, TN). 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 Marisa Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Bradshaw accept?

Health plans from BlueCross BlueShield of Tennessee list Marisa 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 Marisa Bradshaw was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.