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

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

Q: 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.

Q: What is Marisa Bradshaw's specialty?

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

Q: 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 31 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.

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: August 02, 2026.

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

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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

Phone(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

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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

Medicare Participation & PECOS CMS

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

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.

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.

WHITTLEE BLOUNT APRN

Nurse Practitioner (Family)

624 GRASSMERE PARK STE 15
NASHVILLE, TN 37211

Davidson County (615) 726-0776

JANNAH R BRANCH-SMITH APN, FNP-BC

Nurse Practitioner (Family)

624 GRASSMERE PARK STE 15
NASHVILLE, TN 37211

Davidson County (877) 726-0776

JESSICA RENAE STILES NP

Nurse Practitioner (Psychiatric/Mental Health)

624 GRASSMERE PARK STE 15
NASHVILLE, TN 37211

Davidson County (615) 333-2152

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.

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 31 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.