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

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: July 19, 2026.

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 Marshfield Medical Center - Weston, 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
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

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

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 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services15 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

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, 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.

Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
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.

What insurance does Bradley Boettcher accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, Medica 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 with the weekly NPPES data releases published by CMS.