Nicole Suzanne Bradshaw, FNP-C - Medicare Nurse Practitioner in Hannibal, MO

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Nicole Suzanne Bradshaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hannibal, Missouri. Her current practice location is 6500 Hospital Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 629-3480.

Nicole Suzanne Bradshaw is licensed to practice in Missouri (license number 2018041855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053880112.

Contact Information

Nicole Suzanne Bradshaw, FNP-C
6500 Hospital Dr,
Hannibal, MO 63401-6890
(573) 629-3480
(573) 629-3987

Map and Direction




Provider's Profile

Full NameNicole Suzanne Bradshaw
GenderFemale
SpecialityNurse Practitioner - Family
Location6500 Hospital Dr, Hannibal, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053880112
  • Provider Enumeration Date: 11/19/2018
  • Last Update Date: 01/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759711468
  • Enrollment ID: I20200421001397

Medical Identifiers

Medical identifiers for Nicole Suzanne Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053880112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209019387 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 2018041855 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Suzanne Bradshaw allows following entities to bill medicare on her behalf.
Entity NameBlessing Corporate Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851311641
PECOS PAC ID: 5991616138
Enrollment ID: O20050222000479
Entity NameBlessing Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20161005001836
Entity NameCurana Health Of Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891400156
PECOS PAC ID: 1456724434
Enrollment ID: O20230223000366
Entity NameCh Specialty Services Il Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922707702
PECOS PAC ID: 8224402482
Enrollment ID: O20230330000234

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Suzanne Bradshaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Suzanne Bradshaw, FNP-C
6500 Hospital Dr,
Hannibal, MO 63401-6890

Ph: (573) 629-3480		Nicole Suzanne Bradshaw, FNP-C
6500 Hospital Dr,
Hannibal, MO 63401-6890

Ph: (573) 629-3480

Reviews and Comments


Nurse Practitioner Nurses in Hannibal, MO

Elizabeth Anne Radcliff, MSN, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6000 Hospital Dr, Hannibal, MO 63401
Phone: 573-248-5211    Fax: 573-248-5210
Mrs. Terry Shannon Thomas, APRN-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Medical Dr, Hannibal, MO 63401
Phone: 573-221-5250    Fax: 573-231-3751
Melissa L Reynolds,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3440    Fax: 573-629-3423
Lynn M Shima, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3300    Fax: 573-629-3314
Ms. Kim M Peters, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Medical Dr, Hannibal, MO 63401
Phone: 573-231-3116    Fax: 573-231-3714
Diane Berry Slough, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3440    Fax: 573-629-3416

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.