BRADLEY THOMAS WAGNER CRNA
NPI 1043581770
Nurse Anesthetist, Certified Registered in Fort Atkinson, WI

Active since January 26, 2012Accepts Medicare Assignment
611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 568-5000 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2025, Oct 25, 2023, Oct 17, 2023 and 3 more (6 updates tracked since 2016).

About Bradley Thomas Wagner Crna NPPES

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

BRADLEY THOMAS WAGNER CRNA (NPI 1043581770) is an individual nurse anesthetist, certified registered in Fort Atkinson, Wisconsin, licensed in Wisconsin (190070-30) and active in the NPI registry since January 2012. He is affiliated with Fort Memorial Hospital and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043581770
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRADLEY THOMAS WAGNERCredential: CRNA
Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 563-4466
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 26, 2012
Last NPPES UpdateDecember 19, 20256 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1043581770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in WI · 190070-30
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.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 190070-30 (WI)
611 SHERMAN AVE E, Fort Atkinson, WI 53538

Accepted Insurance

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 Thomas Wagner 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 ID7214233295
PECOS Enrollment IDI20160317001103

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454
This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.
28 services28 patients
Destruction of nerve branches of knee using imaging guidance 64624
This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.
26 services26 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
23 services23 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 patients
Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve) 64417
This procedure involves injecting a numbing agent and/or steroid into the nerves of your upper arm and shoulder. It helps reduce pain and inflammation. You may experience temporary numbness or weakness in the area post-procedure.
18 services18 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physician Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Psychiatry & Neurology (Neurology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Social Worker
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physical Therapist
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Practitioner (Adult Health)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Home Health
611 SHERMAN AVE E
FORT ATKINSON, WI 53538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Wagner's NPI number?

The NPI number for Bradley Wagner is 1043581770. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Where is Bradley Wagner located?

Bradley Wagner practices at 611 Sherman Ave E, Fort Atkinson, WI 53538. The listed phone number is (920) 568-5000.

What is Bradley Wagner's specialty?

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

Is Bradley Wagner enrolled in Medicare?

Yes. Bradley Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Wagner accept?

Health plans from Group Health Cooperative-SCW list Bradley Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Wagner affiliated with any hospitals?

According to CMS data, Bradley Wagner is affiliated with Fort Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Wagner was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.