Active NPI
Kristin Bradshaw, FNP-C
- Family Nurse Practitioner
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209016913
- Practice address
- 1107 College Ave
Quincy, IL 62301-2600 - Phone
- (217) 214-5800
- Fax
- (217) 214-5805
- NPI assigned
- Nov 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017038785 | MO | |
| Family Nurse Practitioner | 363LF0000X | 209016913 | IL | Primary |
Addresses
Primary practice location
1107 College Ave
Quincy, IL 62301-2600
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other practice location 1
100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017038785 | Other | MO | MISSOURI CERTIFIED NURSE PRACTITIONER LICENSE |
Other names 1
- Kristin Schutte
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbradshaw19259@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
1107 College Ave
Suite 1
Quincy, IL 62301-2600
Phone (217) 224-6423
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016913 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
1107 College Ave
Quincy, IL 62301
Phone (217) 214-5800
4917 Oak St
Quincy, IL 62305
Phone (217) 214-5858
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
1811 S Main St
Palmyra, MO 63461
Phone (573) 769-2231
Interoperability endpoints
- kristinbradshaw@bcs.allscriptsdirect.net
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, IL
- NPI 1558489021
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1568975183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-277-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 COLLEGE AVE",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012600",
"telephone_number": "217-214-5800",
"fax_number": "217-214-5805"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016877",
"country_code": "US",
"telephone_number": "573-221-5250",
"fax_number": "217-214-5805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADSHAW",
"first_name": "KRISTIN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017038785",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209016913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI CERTIFIED NURSE PRACTITIONER LICENSE",
"identifier": "2017038785",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbradshaw19259@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1107 College Ave",
"city": "Quincy",
"state": "IL",
"country_code": "US",
"postal_code": "623012600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SCHUTTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.