BRADLEY ALAN KIRKENIR CRNA
NPI 1023444866
Nurse Anesthetist, Certified Registered in Peoria, IL

Q: What is Bradley Kirkenir's NPI number?

The NPI number for Bradley Kirkenir is 1023444866. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Q: What is Bradley Kirkenir's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Kirkenir was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2013Accepts Medicare Assignment

7309 N KNOXVILLE AVE, PEORIA, IL 61614(217) 528-7541 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Dec 30, 2021 (2 updates tracked since 2021).

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About Bradley Alan Kirkenir Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY ALAN KIRKENIR CRNA (NPI 1023444866) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (20910728) and active in the NPI registry since September 2013. He is affiliated with St Johns Hospital, maintains a secondary practice location in Springfield, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1023444866

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRADLEY ALAN KIRKENIRCredential: CRNA

Location Address7309 N KNOXVILLE AVEPeoria, IL 61614-2085

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 528-7541

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 25, 2013

Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1023444866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 20910728

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

7309 N KNOXVILLE AVE, Peoria, IL 61614

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Secondary Practice Location 1

Location 1800 E Carpenter St, Room 2k64Springfield, IL 62769-0002 · Phone (217) 525-5643 · Fax (217) 544-3311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley Alan Kirkenir Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052546777

PECOS Enrollment IDI20131104001372

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROB WIMMER P.A.

Physician Assistant (Surgical)