NPIMap

Individual provider Active NPI

Taylor Noelle Bradshaw, CNP

  • Nurse Practitioner
  • Granite Falls, MN
National Provider Identifier
1750044947
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A166120 Issued in IA
Practice address
345 10TH Ave
Granite Falls, MN 56241-1442
Phone
(320) 564-6200
NPI assigned
Oct 15, 2021
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A166120 IA Primary
Family Medicine Physician 207Q00000X A166120 IA

Addresses

Primary practice location

345 10TH Ave
Granite Falls, MN 56241-1442

Mailing address

218 2ND Ave
Little Rock, IA 51243-1001
Phone (515) 975-1095

Other practice location 1

218 2nd Ave
Little Rock, IA 51243-1001
Phone (515) 975-1095

Other identifiers 2

IdentifierTypeStateIssuer
A166120OtherIAIOWA BOARD OF NURSING
11327OtherMN11327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303001293 IA Practitioner - Nurse Practitioner 8022402254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Osceola Community Hospital IncGroup PAC ID 5799692372, 13 clinicians

Practice addresses (Care Compare)

116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500

600 9TH Ave N
Sibley, IA 51249-1012
Phone (712) 754-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 27, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Osceola Community Hospital Inc. CurrentSince Jan 27, 2025 Accepting new patients
Osceola Community Hospital Inc CurrentSince Jan 27, 2025 Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

600 9th Ave N
Sibley, IA 51249
Phone (712) 754-2574

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: taylor.beisch.p20@direct.trinity-healthiowa.nextgenshare.com

Organizations & group practices 6

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1750044947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 2ND AVE",
            "city": "LITTLE ROCK",
            "state": "IA",
            "postal_code": "512431001",
            "telephone_number": "515-975-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 10TH AVE",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411442",
            "telephone_number": "320-564-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "IA",
            "postal_code": "512431001",
            "country_code": "US",
            "telephone_number": "515-975-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "TAYLOR",
        "middle_name": "NOELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A166120",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A166120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING",
            "identifier": "A166120",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "11327",
            "identifier": "11327",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, MN

Sources for this page

Verify at the official NPI Registry.