DOUG J BRICKEY (DNP CRNA) – Certified Registered Nurse Anesthetist, NPI 1285258855

DOUG J BRICKEY (DNP CRNA) is a healthcare provider. based in Rockford, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP CRNA. They hold a License No. 209-021401 (IL). The NPI Number for DOUG J BRICKEY (DNP CRNA) is 1285258855

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DOUG J BRICKEY (DNP CRNA)
NPI
1285258855
Phone
(815) 299-1090
Address
913 N MAIN ST APT 502
Enumeration Date
30 May 2020
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6035772000
Graduation Year
2020 (6 years ago)
PAC ID
9133546799
Group Practice PAC ID
6406183821
Professional Enrollment ID
I20250121002449
Address ID
NH030603925NA8XXXXSTXX300

Contacts

Secure Messaging
dbrickey396529@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness95
Years active:6State licenses:3Other names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for DOUG J BRICKEY (DNP CRNA)

  • 913 N MAIN ST APT 502

    ROCKFORD, IL 611037058

    Phone: (815) 299-1090

    Type: Mailing

  • 1425 N Randall Rd

    Elgin, IL 601232300

    Phone: (224) 783-2932

    Fax: (224) 783-2032

    Type: Location

  • 913 N Main St Apt 502

    Rockford, IL 611037058

    Phone: (815) 299-1090

    Type: Location

  • 1 MEDICAL CENTER DR

    LEBANON, NH 037561000

    Phone: (603) 650-5000

    Fax: (603) 640-1228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($54).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-01-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200827000516ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20250121002449ICertified Registered Nurse Anesthetist (Crna)NHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406183821View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
Internal MedicineNJ
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NH
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What number should I use to identify DOUG J BRICKEY (DNP CRNA) for billing?
Administrative and clinical systems typically use NPI 1285258855 for DOUG J BRICKEY (DNP CRNA).
Quick check: is DOUG J BRICKEY (DNP CRNA) active?
Public NPPES data shows DOUG J BRICKEY (DNP CRNA) with an active NPI status right now.
What services align with DOUG J BRICKEY (DNP CRNA)'s listing?
DOUG J BRICKEY (DNP CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DOUG J BRICKEY (DNP CRNA)?
DOUG J BRICKEY (DNP CRNA) is associated with Rockford, Illinois in the same public data insurers reference.
Why is information missing for DOUG J BRICKEY (DNP CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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