BRADLEY LAU CRNA
NPI 1679011183
Nurse Anesthetist, Certified Registered in Boise, ID

Q: What is Bradley Lau's NPI number?

The NPI number for Bradley Lau is 1679011183. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Q: What is Bradley Lau'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 Lau was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 03, 2017Accepts Medicare Assignment

338 E BANNOCK ST, BOISE, ID 83712(208) 336-0895 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2017, Feb 3, 2017 (2 updates tracked since 2017).

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About Bradley Lau Crna NPPES

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

BRADLEY LAU CRNA (NPI 1679011183) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (55161) and active in the NPI registry since February 2017. He is affiliated with St Luke's Nampa Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679011183

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRADLEY LAUCredential: CRNA

Location Address338 E BANNOCK STBoise, ID 83712-6207

Mailing Address338 E Bannock StBoise, ID 83712-6207 · (208) 336-0895

Phone(208) 336-0895

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 3, 2017

Last NPPES UpdateMarch 29, 20172 updates tracked since enumeration

✔ NPI 1679011183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · 55161

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.

338 E BANNOCK ST, Boise, ID 83712

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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 Lau 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 ID8527345339

PECOS Enrollment IDI20170504000873

Medicare Billing Reassignment

Medicare enrollment records show Bradley Lau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates Of Boise, P.A.

Same address

Specialist

338 E BANNOCK ST
Boise, ID 83712

Reassigned Medicare billing, Idaho enrollment
233 clinicians in this Medicare group

NPI 1033147467 (208) 336-0895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

ANESTHESIA ASSOCIATES OF BOISE, P.A.

Specialist