BRADLEE FAGERBERG – Anesthesiologist Assistant, NPI 1609438316
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
936 ANESTHESIOLOGY ASSISTANT in FL
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Provider Addresses for BRADLEE FAGERBERG
14598 WAKE ROBIN DR
BROOKSVILLE, FL 346041415
Phone: (352) 817-5776
Type: Mailing
FL 54, Trinity, Pasco County, Florida, 35655, United States
TRINITY, FL 34655
Phone: (727) 834-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200124001916 | I | Anesthesiology Assistant | FL | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $0 |
| 00914 | Anesthesia for removal of prostate including use of an endoscope | 13 | 13 | $0 |
| 00918 | Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope | 12 | 11 | $0 |
Insurance plans in this area (ZIP 34604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| A N E S T H E S I O L O G Y | MI | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| A N E S T H E S I O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | MS | |
| A N E S T H E S I O L O G Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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