BRADLEY A WIESNER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508102450

BRADLEY A WIESNER (CRNA) is a healthcare provider. based in Grant, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 179376-9 (MN). The NPI Number for BRADLEY A WIESNER (CRNA) is 1508102450

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY A WIESNER (CRNA)
NPI
1508102450
Phone
(308) 352-7200
Address
900 LINCOLN AVE
Enumeration Date
21 December 2012
Last Update Date
21 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083527200
Graduation Year
2013 (13 years ago)
PAC ID
1254574478
Group Practice PAC ID
0840109823
Professional Enrollment ID
I20130906000508
Address ID
NE691403095GR900XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for BRADLEY A WIESNER (CRNA)

  • 900 LINCOLN AVE

    GRANT, NE 691403095

    Phone: (308) 352-7200

    Fax: (308) 352-7290

    Mailing address matches the actual address.

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: 2013-09-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130906000508ICertified Registered Nurse Anesthetist (Crna)NETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope5050$0
00142Anesthesia for lens surgery2827$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 69140)

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Provider's Procedures

BRADLEY A WIESNER (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETNE01402Anesthesia for open or endoscopic total knee joint replacement1716
CERTIFIED REGISTERED NURSE ANESTHETNE76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1211

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: 0840109823View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeNE
Family PracticeNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
Family PracticeNE
Nurse PractitionerNE
Nurse PractitionerNE
Orthopedic SurgeryCO

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Frequently asked questions

What is the standard ID for BRADLEY A WIESNER (CRNA) in the U.S.?
In the U.S., BRADLEY A WIESNER (CRNA) is identified by NPI 1508102450.
Is BRADLEY A WIESNER (CRNA)'s NPI status active today?
Active status means BRADLEY A WIESNER (CRNA)'s NPI record is not deactivated in the public file.
What type of care does BRADLEY A WIESNER (CRNA) provide?
BRADLEY A WIESNER (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to BRADLEY A WIESNER (CRNA)?
The directory associates BRADLEY A WIESNER (CRNA) with Grant, Nebraska. Check all listed addresses for suites or satellite offices.
Can I export BRADLEY A WIESNER (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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