Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Suzanne Bradshaw, FNP-C

Individual provider Family Nurse Practitioner · NPI 1053880112

Nicole Suzanne Bradshaw, FNP-C is a Nurse Practitioner in Hannibal, Missouri. Qualified in 2018, 8 years ago. Practices with Hannibal Regional Healthcare System Inc, a 259-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
8
Licensed in
IL, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3480
Fax: (573) 629-3987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8 Town Center Dr, Bowling Green, MO 63334-2803 — (573) 324-2241
  • 3650 Stardust Dr, Hannibal, MO 63401-2411 — (573) 231-0660
  • 400 S Center St, Shelbina, MO 63468-1404 — (573) 588-4131

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018041855 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209019387 (IL)

Record details

NPI number1053880112
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 19, 2018
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hannibal Regional Healthcare System Inc — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Hannibal Regional Healthcare System Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 259 clinicians in the practice; 12 are shown here.

Other providers in Hannibal