BRANDON S PERCIVAL APRN,CRNA - NPI 1962050906 - Nurse Anesthetist, Certified Registered in Duluth, MN

Q: What is Brandon Percival's NPI number?

The NPI number for Brandon Percival is 1962050906. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Q: What is Brandon Percival'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 Brandon Percival was last updated on September 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brandon S Percival Aprn,crna NPPES

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

BRANDON S PERCIVAL APRN,CRNA (NPI 1962050906) is an individual nurse anesthetist, certified registered in Duluth, Minnesota, licensed in Minnesota (2357) and active in the NPI registry since September 2019. He is affiliated with Essentia Health St Mary's Medical Center and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962050906

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRANDON S PERCIVALCredential: APRN,CRNA

Location Address400 E THIRD STREETDuluth, MN 55805-1951

Mailing Address400 E 3rd StDuluth, MN 55805-1951

Phone(218) 786-8364

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 3, 2019

Last NPPES UpdateSeptember 17, 20192 updates tracked since enumeration

✔ NPI 1962050906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code367500000X

License✔ Licensed in MN · 2357

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

400 E THIRD STREET, Duluth, MN 55805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

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

Brandon S Percival Aprn,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 ID7810227329

PECOS Enrollment IDI20190926001190, I20200625002484

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241364

Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA WELKE APRN,CNP

Nurse Practitioner (Family)