MR. KRISTEN SCOTT BRADLEY CRNA
NPI 1114392545
Nurse Anesthetist, Certified Registered in Bloomington, MN
About Mr. Kristen Scott Bradley Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KRISTEN SCOTT BRADLEY CRNA (NPI 1114392545) is an individual nurse anesthetist, certified registered in Bloomington, Minnesota, licensed in Minnesota (1869) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kristen Scott Bradley Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kristen Bradley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 50 clinicians in this Medicare group
St Louis Park, MN 55426
- Reassigned Medicare billing, Minnesota enrollment
- 146 clinicians in this Medicare group
Saint Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- 119 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55431
BLOOMINGTON, MN 55431
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 Kristen Bradley's NPI number?
The NPI number for Kristen Bradley is 1114392545. It was assigned to this individual provider in the NPPES registry on December 10, 2015.
Where is Kristen Bradley located?
Kristen Bradley practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (952) 831-8742.
What is Kristen Bradley's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kristen Bradley enrolled in Medicare?
Yes. Kristen Bradley is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristen Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Bradley reassigns Medicare benefits to 4 organizations: Tria Orthopaedic Center LLC (Minneapolis, MN), Park Nicollet Methodist Hospital (St Louis Park, MN), Twin Cities Anesthesia Associates PC (Saint Paul, MN) and Martin Luther King Jr Community Medical Foundation (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristen Bradley was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Mr. Kristen Scott Bradley, CRNA · NPI 1114392545
Nurse Anesthetist, Certified Registered physician in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since December 10, 2015.
## Identity
- **NPI:** 1114392545 (Entity type: Individual)
- **Enumerated:** December 10, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1869 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8100 NORTHLAND DR, Bloomington, MN 55431-4800
- **Phone:** (952) 831-8742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Tria Orthopaedic Center LLC (NPI 1053483503, Minneapolis, MN); Park Nicollet Methodist Hospital (NPI 1083622047, St Louis Park, MN); Twin Cities Anesthesia Associates PC (NPI 1982125456, Saint Paul, MN); Martin Luther King Jr Community Medical Foundation (NPI 1639704323, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1114392545) · Data from the CMS NPPES public registry.