Mr Kristen Scott Bradley, CRNA in Bloomington, MN - Medicare Nurse Anesthetist, Certified Registered

Mr Kristen Scott Bradley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bloomington, Minnesota. His current practice location is 810 Northland Dr, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-8742.

Mr Kristen Scott Bradley is licensed to practice in Minnesota (license number 1869) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114392545.

Contact Information

	Mr Kristen Scott Bradley, CRNA
	810 Northland Dr, Bloomington, MN 55431
	(952) 831-8742
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kristen Scott Bradley
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	810 Northland Dr, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114392545
Provider Enumeration Date: 12/10/2015
Last Update Date: 06/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5991008963
Enrollment ID: I20180228001311

Medical Identifiers

Medical identifiers for Mr Kristen Scott Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114392545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1869 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kristen Scott Bradley allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404

Entity Name	Martin Luther King Jr Community Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kristen Scott Bradley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kristen Scott Bradley, CRNA 3031 Ewing Ave S, Apt 319, Minneapolis, MN 55416-4255 Ph: (651) 272-0342	Mr Kristen Scott Bradley, CRNA 810 Northland Dr, Bloomington, MN 55431 Ph: (952) 831-8742

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bloomington, MN

Mary Kay Hanson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 Fax: 952-831-1626
Karen Driessen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742
Chris Gross, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742
Constance Marie Rutledge, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742
Barbara Kay Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742
Kelly A Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742

Mr Kristen Scott Bradley, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bloomington, MN