BRADLEY J BOETTCHER CRNA
NPI 1295906675
Nurse Anesthetist, Certified Registered in Green Bay, WI

Q: What is Bradley Boettcher's NPI number?

The NPI number for Bradley Boettcher is 1295906675. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Q: What is Bradley Boettcher'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 Boettcher was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 March 13, 2008Accepts Medicare Assignment

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 445-7222(920) 445-7289 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bradley J Boettcher Crna NPPES

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

BRADLEY J BOETTCHER CRNA (NPI 1295906675) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (3411) and active in the NPI registry since March 2008. He is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., maintains a secondary practice location in Stevens Point, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1295906675

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRADLEY J BOETTCHERCredential: CRNA

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 445-7222

Fax(920) 445-7289

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 13, 2008

Last NPPES UpdateNovember 1, 2018

✔ NPI 1295906675 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 · 3411

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 ListedRegistered NurseTaxonomy 163W00000X · License 141347 (WI)

744 S WEBSTER AVE, Green Bay, WI 54301

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Secondary Practice Location 1

Location 1900 Illinois AveStevens Point, WI 54481-3114 · Phone (715) 346-5000

Other Identifiers 2

Other141347WI · Rn Secondary Wi State License

Other3411WI · Wi State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.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 J Boettcher 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 ID9830269588

PECOS Enrollment IDI20080606000187

Areas of Expertise CMS Part B claims

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 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520202

Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)