BRADLEY J MACK CRNA
NPI 1881259182
Nurse Anesthetist, Certified Registered in Norfolk, NE

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
77.55/100
CMS Quality Rating
2700 W NORFOLK AVE, NORFOLK, NE 68701(402) 371-4880(402) 644-7647 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bradley J Mack Crna NPPES

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

BRADLEY J MACK CRNA (NPI 1881259182) is an individual nurse anesthetist, certified registered in Norfolk, Nebraska, licensed in Nebraska (PENDING) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Wayne County Hospital, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1881259182
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRADLEY J MACKCredential: CRNA
Location Address2700 W NORFOLK AVENorfolk, NE 68701-4438
Mailing Address2700 W Norfolk AveNorfolk, NE 68701-4438 · (402) 371-4880 · Fax (402) 644-7647
Fax(402) 644-7647
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 2, 2019
✔ NPI 1881259182 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 NE · PENDING
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.
2700 W NORFOLK AVE, Norfolk, NE 68701

Secondary Practice Location 1

Location 1301 N 27th St Ste 3Norfolk, NE 68701-4457 · Phone (402) 644-7262 · Fax (402) 644-7227

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 J Mack 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 ID7517293145
PECOS Enrollment IDI20231016001642, I20260123001996
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bradley Mack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
109 BROAD ST
Humeston, IA 50123
  • Reassigned Medicare billing, Iowa enrollment
  • 61 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3610 N UNIVERSITY DR
Nacogdoches, TX 75965
  • Reassigned Medicare billing, Texas enrollment
  • 118 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2055 N MAIN ST
Tooele, UT 84074
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Desert Peak Anesthesia, LLC
  • 16 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.

Hospital Affiliations CMS Care Compare

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

Wayne County Hospital

Critical Access Hospitals · Corydon, IA
OwnershipGovernment - Local
CMS Certification Number161358
Location417 South East StreetCorydon, IA 50060 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.77
Promoting Interoperability97
Improvement Activities40
Cost50.91

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.

Emergency Medicine
2700 W NORFOLK AVE
NORFOLK, NE 68701
Rehabilitation Unit
2700 W NORFOLK AVE
NORFOLK, NE 68701
Occupational Therapist
2700 W NORFOLK AVE
NORFOLK, NE 68701
Nurse Practitioner (Acute Care)
2700 W NORFOLK AVE
NORFOLK, NE 68701
Internal Medicine
2700 W NORFOLK AVE
NORFOLK, NE 68701
Emergency Medicine
2700 W NORFOLK AVE
NORFOLK, NE 68701
Nurse Anesthetist, Certified Registered
2700 W NORFOLK AVE
NORFOLK, NE 68701
Emergency Medicine
2700 W NORFOLK AVE
NORFOLK, NE 68701

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 Mack's NPI number?

The NPI number for Bradley Mack is 1881259182. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Bradley Mack located?

Bradley Mack practices at 2700 W Norfolk Ave, Norfolk, NE 68701. The listed phone number is (402) 371-4880.

What is Bradley Mack's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bradley Mack enrolled in Medicare?

Yes. Bradley Mack 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 Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Mack reassigns Medicare benefits to 3 organizations: Wayne County Hospital (Humeston, IA), Grasshopper Anesthesia Services PLLC (Nacogdoches, TX) and Deseret Peak Anesthesia, LLC (Tooele, UT). 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 Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Mack accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Bradley Mack 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 Mack affiliated with any hospitals?

According to CMS data, Bradley Mack is affiliated with Wayne County Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Mack was last updated on May 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.