What is Nicole Bradshaw's NPI number?

Nicole Bradshaw's National Provider Identifier (NPI) is 1053880112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Bradshaw's specialty?

Nicole Bradshaw is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).

Where is Nicole Bradshaw located?

Nicole Bradshaw's practice location on file with NPPES is 6500 Hospital Dr, Hannibal, MO 63401-6890.

What is Nicole Bradshaw's phone number?

The practice phone number listed in the NPPES registry for Nicole Bradshaw is (573) 629-3480.

Does Nicole Bradshaw accept Medicare?

Nicole Bradshaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Nicole Bradshaw's NPI active?

Yes — Nicole Bradshaw's NPI (1053880112) is active in the NPPES registry as of the last update on 2025-01-15.

IndividualActiveAccepts Medicare

Nicole Bradshaw, FNP-C

NPI 1053880112 · Family Nurse Practitioner · Hannibal, MO

Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Nicole Bradshaw, FNP-C is a Family Nurse Practitioner provider in Hannibal, MO (NPI 1053880112).

Provider details

NPI number: 1053880112
Entity type: Individual
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: FNP-C
Sex: Female
Sole proprietor: No
License: 209019387 (IL)

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000XLicense 2018041855 (MO)
Physician Assistants & Advanced Practice Nursing Providers
Family Nurse Practitioner363LF0000XLicense 209019387 (IL)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
7 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
4 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.

Drug	Part D claims (2024)
Venlafaxine Hclbrand: Venlafaxine Hcl Er	11

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$122 across 7 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

6500 Hospital Dr

Hannibal, MO 63401-6890

Phone: (573) 629-3480

Fax: (573) 629-3987

Approximate (ZIP-level) locationGet directions

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Mailing address