BRADLEE FAGERBERG
NPI 1609438316
Anesthesiologist Assistant in Trinity, FL
About Bradlee Fagerberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEE FAGERBERG (NPI 1609438316) is an individual anesthesiologist assistant in Trinity, Florida and active in the NPI registry since July 2019. She is affiliated with Tampa General Hospital Brooksville and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Bradlee Fagerberg 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
4Medicare enrollment records show Bradlee Fagerberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lutz, FL 33558
- Reassigned Medicare billing, Florida enrollment
- 1,287 clinicians in this Medicare group
Bradenton, FL 34209
- Reassigned Medicare billing, Florida enrollment
- 792 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 768 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Florida enrollment
- 85 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 3
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.
Tampa General Hospital Brooksville
Acute Care Hospitals · Brooksville, FLOther Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRINITY, FL 34655
TRINITY, FL 34655
TRINITY, FL 34655
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 Bradlee Fagerberg's NPI number?
The NPI number for Bradlee Fagerberg is 1609438316. It was assigned to this individual provider in the NPPES registry on July 2, 2019.
Where is Bradlee Fagerberg located?
Bradlee Fagerberg practices at 9330 Fl-54, Trinity, FL 34655. The listed phone number is (727) 834-4000.
What is Bradlee Fagerberg's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Bradlee Fagerberg enrolled in Medicare?
Yes. Bradlee Fagerberg 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 Bradlee Fagerberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradlee Fagerberg reassigns Medicare benefits to 4 organizations: Gulf-To-Bay Anesthesiology Associates LLC (Lutz, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL), Ams National LLC (Pensacola, FL) and Northstar Anesthesia Of Florida LLC (Irving, TX). 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 Bradlee Fagerberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradlee Fagerberg accept?
Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Bradlee Fagerberg 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 Bradlee Fagerberg affiliated with any hospitals?
According to CMS data, Bradlee Fagerberg is affiliated with Tampa General Hospital Brooksville.
When was this NPI record last updated?
The NPPES record for Bradlee Fagerberg was last updated on July 2, 2019. 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.
# Bradlee Fagerberg · NPI 1609438316
Anesthesiologist Assistant physician in Trinity, Florida. Individual provider, active in the CMS NPPES registry since July 2, 2019.
## Identity
- **NPI:** 1609438316 (Entity type: Individual)
- **Enumerated:** July 2, 2019
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 9330 FL-54, Trinity, FL 34655
- **Phone:** (727) 834-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gulf-To-Bay Anesthesiology Associates LLC (NPI 1225365489, Lutz, FL); Sunshine State Anesthesia Partners LLC (NPI 1437757127, Bradenton, FL); Ams National LLC (NPI 1316330830, Pensacola, FL); Northstar Anesthesia Of Florida LLC (NPI 1568056166, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1609438316) · Data from the CMS NPPES public registry.