MRS. MARISA BRADBURY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093444093

MRS. MARISA BRADBURY (PMHNP) is a healthcare provider. based in North chesterfield, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 0024184442 (VA). The NPI Number for MRS. MARISA BRADBURY (PMHNP) is 1093444093

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARISA BRADBURY (PMHNP)
NPI
1093444093
Phone
Not provided
Address
PO BOX 34527
Enumeration Date
7 June 2022
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
88888768673
Graduation Year
2022 (4 years ago)
PAC ID
6800279928
Group Practice PAC ID
6103157094
Professional Enrollment ID
I20220822002620
Address ID
VA225563805ST188XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MRS. MARISA BRADBURY (PMHNP)

  • PO BOX 34527

    NORTH CHESTERFIELD, VA 232340527

    Phone:

    Type: Mailing

  • 5322 LADYSMITH RD

    RUTHER GLEN, VA 225461325

    Phone: (804) 547-4125

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,093.

Total Amount is formed as General ($1,093) + Research ($0) + Ownership ($0) = $1,093.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($256).

Total Amount

$1,093

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2022-08-22

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
I20220822002620INurse PractitionerVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1,508107$0
99215Established patient office or other outpatient visit, 40-54 minutes10226$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes5353$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 23234)

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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: 6103157094View full group profile
NameSpecialtyState
Nurse PractitionerVA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. MARISA BRADBURY (PMHNP)?
NPI 1093444093 is assigned to MRS. MARISA BRADBURY (PMHNP) under the national enumeration system.
Is MRS. MARISA BRADBURY (PMHNP) active in the national directory?
MRS. MARISA BRADBURY (PMHNP)'s public NPI profile is in an active state.
What field does MRS. MARISA BRADBURY (PMHNP) work in?
You can think of MRS. MARISA BRADBURY (PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. MARISA BRADBURY (PMHNP)?
We surface North Chesterfield, Virginia for MRS. MARISA BRADBURY (PMHNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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