Individual provider Active NPI

Susan Bradshaw

  • Family Nurse Practitioner
  • Conifer, CO
National Provider Identifier
1588054548
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991278-NP Issued in CO
Practice address
26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone
(303) 647-5300
Fax
(877) 892-7288
NPI assigned
Jan 29, 2015
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0991278-NP CO Primary

Addresses

Primary practice location

26659 Pleasant Park Rd
Conifer, CO 80433-7768

Mailing address

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20150512000355 CO Practitioner - Nurse Practitioner 4981923000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conifer Medical Center, PCGroup PAC ID 4789676131, 16 clinicians

Practice addresses (Care Compare)

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0991278-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Medical Center, PC CurrentSince Sep 1, 2022 Accepting new patients
Conifer Medical Center, PC Past Accepting new patients

Locations

26659 Pleasant Park Rd
Conifer, CO 80433
Phone (303) 647-5300

30940 Stagecoach Blvd
Ste E270
Evergreen, CO 80439
Phone (303) 670-7033

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1588054548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337768",
            "telephone_number": "303-647-5300",
            "fax_number": "877-892-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337768",
            "telephone_number": "303-647-5300",
            "fax_number": "877-892-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991278-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.