BRADLEY M BECKSTEAD CRNA
NPI 1770001646
Nurse Anesthetist, Certified Registered in Jackson, TN

Q: What is Bradley Beckstead's NPI number?

The NPI number for Bradley Beckstead is 1770001646. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Q: What is Bradley Beckstead'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 Beckstead was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 31, 2017Accepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-7070(731) 541-7075 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Bradley M Beckstead Crna NPPES

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

BRADLEY M BECKSTEAD CRNA (NPI 1770001646) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (207831) and active in the NPI registry since August 2017. He is affiliated with Eastern Idaho Regional Medical Center and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770001646

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRADLEY M BECKSTEADCredential: CRNA

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address620 Skyline DrJackson, TN 38301-3923 · (731) 541-7070 · Fax (731) 541-7075

Phone(731) 541-7070

Fax(731) 541-7075

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 31, 2017

✔ NPI 1770001646 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 TN · 207831

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.

620 SKYLINE DR, Jackson, TN 38301

Open in Google Maps ↗

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 M Beckstead 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 ID3577829027

PECOS Enrollment IDI20200204000567

Hospital Affiliations CMS Care Compare

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)