MR. BRADLEY WIERDA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770560518
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR
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Provider Addresses for MR. BRADLEY WIERDA (CRNA)
P.O. BOX 507
LOWELL, AR 727450507
Phone: (913) 642-4900
Fax: (913) 381-0979
Type: Mailing
PO BOX 507
LOWELL, AR 727450507
Phone: (913) 647-4100
Fax: (913) 647-4120
Type: Mailing
Mercy Hospital, 2710, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
ANESTHESIA DEPT
ROGERS, AR 727581452
Phone: (479) 338-8000
Fax: (479) 338-3056
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090902000319 | I | Certified Registered Nurse Anesthetist (Crna) | AR | TBD |
| I20231211001911 | I | Certified Registered Nurse Anesthetist (Crna) | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 64 | 64 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 27 | 27 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 17 | 16 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 72745)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR |
Reviews
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