MIRIAM LOUISE BRAWLEY (FNP-C) – Family Nurse Practitioner, NPI 1033646187

MIRIAM LOUISE BRAWLEY (FNP-C) is a healthcare provider. based in Salem, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2017015433 (MO). The NPI Number for MIRIAM LOUISE BRAWLEY (FNP-C) is 1033646187

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM LOUISE BRAWLEY (FNP-C)
NPI
1033646187
Phone
(573) 729-5533
Address
1415 W SCENIC RIVERS BLVD
Enumeration Date
20 May 2017
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737295533
Graduation Year
2017 (9 years ago)
PAC ID
4183992704
Group Practice PAC ID
2860391158
Professional Enrollment ID
I20170622000659
Address ID
MO655602840SA1415XBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MIRIAM LOUISE BRAWLEY (FNP-C)

  • 1415 W SCENIC RIVERS BLVD

    SALEM, MO 655602840

    Phone: (573) 729-5533

    Fax: (573) 202-2466

    Type: Location

  • 1050 W 10th St

    Rolla, MO 65401

    Phone: (573) 364-9000

    Type: Location

  • 1050, West 10th Street, Rolla, Phelps County, Missouri, 65401, United States

    ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS

    ROLLA, MO 65401

    Phone: (573) 364-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $614.

Total Amount is formed as General ($614) + Research ($0) + Ownership ($0) = $614.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($212).

Total Amount

$614

General + Research + Ownership

Payments

34

Total payment records

General Amount

$614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170622000659INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860391158View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
Internal MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
-MO
Internal MedicineIL
Hospitalist, Internal MedicineAR
Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

What number should I use to identify MIRIAM LOUISE BRAWLEY (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1033646187 for MIRIAM LOUISE BRAWLEY (FNP-C).
Is MIRIAM LOUISE BRAWLEY (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists MIRIAM LOUISE BRAWLEY (FNP-C) as active.
Which specialty label fits MIRIAM LOUISE BRAWLEY (FNP-C)?
NPPES ties MIRIAM LOUISE BRAWLEY (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MIRIAM LOUISE BRAWLEY (FNP-C) tied to Salem, Missouri?
If you are local to Salem, Missouri, MIRIAM LOUISE BRAWLEY (FNP-C) may be relevant to your search.
Why is information missing for MIRIAM LOUISE BRAWLEY (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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