BRADLEY ALLEN JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336628486

BRADLEY ALLEN JOHNSON (CRNA) is a healthcare provider. based in Bellevue, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP60897170 (WA). The NPI Number for BRADLEY ALLEN JOHNSON (CRNA) is 1336628486

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALLEN JOHNSON (CRNA)
NPI
1336628486
Phone
(425) 502-3000
Address
11511 NE 10TH ST
Enumeration Date
9 August 2018
Last Update Date
3 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003403595
Graduation Year
2018 (8 years ago)
PAC ID
5597000562
Group Practice PAC ID
7315317112
Professional Enrollment ID
I20181219001347
Address ID
WA980038714FE34719SXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

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Provider Addresses for BRADLEY ALLEN JOHNSON (CRNA)

  • Kaiser Permanente - Bellevue Medical Center, 11511, Northeast 10th Street, Midlakes, Bellevue, King County, Washington, 98004, United States

    BELLEVUE, WA 980048578

    Phone: (425) 502-3000

    Fax: (425) 502-3589

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Avanos Medical ($46).

Total Amount

$123

General + Research + Ownership

Payments

4

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2018-12-19

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
I20181219001347ICertified Registered Nurse Anesthetist (Crna)WATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4242$0
00812Anesthesia for exam of colon using an endoscope2929$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 98004)

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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: 7315317112View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

How do payers reference BRADLEY ALLEN JOHNSON (CRNA)?
For BRADLEY ALLEN JOHNSON (CRNA), use NPI 1336628486 as the unique 10-digit identifier.
Active or inactive — what applies to BRADLEY ALLEN JOHNSON (CRNA)?
You should see BRADLEY ALLEN JOHNSON (CRNA) as active in CMS-hosted NPPES data.
What expertise is attributed to BRADLEY ALLEN JOHNSON (CRNA)?
BRADLEY ALLEN JOHNSON (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is BRADLEY ALLEN JOHNSON (CRNA) located near Bellevue?
BRADLEY ALLEN JOHNSON (CRNA) currently maps to Bellevue, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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