BRADLEY GOLL
NPI 1770121089
Nurse Anesthetist, Certified Registered in Omak, WA
About Bradley Goll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY GOLL (NPI 1770121089) is an individual nurse anesthetist, certified registered in Omak, Washington, licensed in Idaho (50150) and active in the NPI registry since December 2019. He is affiliated with Samaritan Hospital 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
Bradley Goll 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
6Medicare enrollment records show Bradley Goll reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omak, WA 98841
- Reassigned Medicare billing, Washington enrollment
- 179 clinicians in this Medicare group
Tonasket, WA 98855
- Reassigned Medicare billing, Washington enrollment
- 155 clinicians in this Medicare group
Brewster, WA 98812
- Reassigned Medicare billing, Washington enrollment
- 238 clinicians in this Medicare group
Moses Lake, WA 98837
- Reassigned Medicare billing, Washington enrollment
- 158 clinicians in this Medicare group
Colfax, WA 99111
- Reassigned Medicare billing, Washington enrollment
- 69 clinicians in this Medicare group
Shelton, WA 98584
- Reassigned Medicare billing, Washington enrollment
- 31 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Hospital
Acute Care Hospitals · Moses Lake, WAMason General Hospital & Family Of Clinics
Critical Access Hospitals · Shelton, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98841 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.
OMAK, WA 98841
OMAK, WA 98841
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 Goll's NPI number?
The NPI number for Bradley Goll is 1770121089. It was assigned to this individual provider in the NPPES registry on December 17, 2019.
Where is Bradley Goll located?
Bradley Goll practices at 810 Jasmine St, Omak, WA 98841. The listed phone number is (509) 826-1760.
What is Bradley Goll's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bradley Goll enrolled in Medicare?
Yes. Bradley Goll 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 Goll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Goll reassigns Medicare benefits to 6 organizations: Okanogan County Public Hospital District No. 3 (Omak, WA), Okanogan County Public Hospital Dist No 4 (Tonasket, WA), Okanogan Douglas County Hospital Dist 1 (Brewster, WA), Grant County Public Hospital District 1 (Moses Lake, WA), Public Hospital District No 3 Of Whitman County (Colfax, WA) and 1 more organization, 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 Goll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Goll accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Bradley Goll 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 Goll affiliated with any hospitals?
According to CMS data, Bradley Goll is affiliated with Samaritan Hospital and Mason General Hospital & Family Of Clinics.
When was this NPI record last updated?
The NPPES record for Bradley Goll was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Goll · NPI 1770121089
Nurse Anesthetist, Certified Registered physician in Omak, Washington. Individual provider, active in the CMS NPPES registry since December 17, 2019.
## Identity
- **NPI:** 1770121089 (Entity type: Individual)
- **Enumerated:** December 17, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 50150 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 810 JASMINE ST, Omak, WA 98841-9578
- **Phone:** (509) 826-1760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Okanogan County Public Hospital District No. 3 (NPI 1255387403, Omak, WA); Okanogan County Public Hospital Dist No 4 (NPI 1164580700, Tonasket, WA); Okanogan Douglas County Hospital Dist 1 (NPI 1205942257, Brewster, WA); Grant County Public Hospital District 1 (NPI 1609112739, Moses Lake, WA); Public Hospital District No 3 Of Whitman County (NPI 1922009448, Colfax, WA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1770121089) · Data from the CMS NPPES public registry.