BRADLEY J BOETTCHER CRNA
NPI 1295906675
Nurse Anesthetist, Certified Registered in Green Bay, WI
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 enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Weston, and maintains a secondary practice location in Stevens Point.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Bradley Boettcher reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 144 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 174 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 10 clinicians in this Medicare group
Merrill, WI 54452
- Reassigned Medicare billing, Wisconsin enrollment
- 351 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Weston
Acute Care Hospitals · Weston, WIPhysician 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.
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.
GREEN BAY, WI 54301
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 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.
Where is Bradley Boettcher located?
Bradley Boettcher practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 445-7222.
What is Bradley Boettcher's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bradley Boettcher enrolled in Medicare?
Yes. Bradley Boettcher 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.
Which organizations bill Medicare for Bradley Boettcher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Boettcher reassigns Medicare benefits to 8 organizations: Association Of Hospital Anesthesiologists Sc (Neenah, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Mchs Hospitals, Inc. (Plover, WI) and 3 more organizations, listed in the Medicare section above. 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 Bradley Boettcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Boettcher accept?
Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and Sanford Health Plan list Bradley Boettcher 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 Boettcher affiliated with any hospitals?
According to CMS data, Bradley Boettcher is affiliated with Marshfield Medical Center - Weston.
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.
# Bradley J Boettcher, CRNA · NPI 1295906675
Nurse Anesthetist, Certified Registered physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since March 13, 2008.
## Identity
- **NPI:** 1295906675 (Entity type: Individual)
- **Enumerated:** March 13, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3411 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 S WEBSTER AVE, Green Bay, WI 54301-3505
- **Phone:** (920) 445-7222 · **Fax:** (920) 445-7289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Association Of Hospital Anesthesiologists Sc (NPI 1720076474, Neenah, WI); Thedacare Medical Center - Shawano, Inc. (NPI 1548260839, Shawano, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 1, 2018
- **Other identifiers:** Other 141347 (WI); Other 3411 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1295906675) · Data from the CMS NPPES public registry.