Shannon Renee Brady-Bardsher, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

83612 Issued in OK

Practice address

2220 W Iowa Ave
Chickasha, OK 73018-2738

Phone

(405) 779-2834

NPI assigned

Mar 3, 2012

Last updated

Oct 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbardsher@direct.gradymem.org
• Direct secure messaging: sbardsher141547@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment Care Compare group NPD
• Grady Memorial Hospital

  dba Five Oaks Family Medical Clinic

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1164859260
  Medicare reassignment NPD
• Grady Memorial Hospital

  dba Anesthesia Services

  • Anesthesiology Physician
  • Chickasha, OK
  • NPI 1750370268
  Medicare reassignment NPD
• Ies HSP Oklahoma LLC

  • Hospitalist Physician
  • Lawton, OK
  • NPI 1518724616
  Medicare reassignment NPD
• Total Wound Care of Oklahoma, LLC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1972269033
  Medicare reassignment NPD
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  NPD
• Grady Memorial Hospital

  dba Rush Springs Family Medical Clinic

  • Rural Health Clinic/Center
  • Rush Springs, OK
  • NPI 1578592788
  NPD
• Grady Memorial Hospital

  dba Five Oaks Medical Group

  • Clinic/Center
  • Chickasha, OK
  • NPI 1659302115
  NPD
• Grady Memorial Hospital

  dba Tuttle Family Medical Clinic

  • Rural Health Clinic/Center
  • Tuttle, OK
  • NPI 1750715439
  NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1316211600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-779-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-779-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY-BARDSHER",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-03",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn Borden, MHR
• Jacob Duane Boyd, PA-C
• Gary Allen Boyer, D.O.
• Bradley Bibb MD PLLC
• Katelin Bradshaw
• Jessica Bragg
• Brooke Brandt
• Pam Brandt
• Andrew B Bratton, PT, DPT
• Brookdale Senior Living Communities, Inc. (Brookdale Chickasha)

• Family Nurse Practitioner in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.