BRADLEY JOHN SCHULTZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114708328

BRADLEY JOHN SCHULTZ (CRNA) is a healthcare provider. based in Appleton, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 194934 (WI). The NPI Number for BRADLEY JOHN SCHULTZ (CRNA) is 1114708328

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
BRADLEY JOHN SCHULTZ (CRNA)
NPI
1114708328
Phone
(715) 614-1614
Address
3722 N Bluemound Dr
Enumeration Date
12 October 2023
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204971810
Graduation Year
2025 (1 year ago)
PAC ID
8921511874
Group Practice PAC ID
6507012713
Professional Enrollment ID
I20250702002949
Address ID
WI543031858GR1077XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for BRADLEY JOHN SCHULTZ (CRNA)

  • 3722 N Bluemound Dr

    Appleton, WI 549146756

    Phone: (715) 614-1614

    Type: Location

  • 3722 N BLUEMOUND DR

    APPLETON, WI 549146756

    Phone: (715) 614-1614

    Type: Mailing

  • 835 S VAN BUREN ST

    GREEN BAY, WI 543013575

    Phone: (920) 433-0111

    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: 2025-07-02

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
I20250702002949ICertified Registered Nurse Anesthetist (Crna)WITBD

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 54914)

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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: 6507012713View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

Does BRADLEY JOHN SCHULTZ (CRNA) have a public NPI I can cite?
Public records show BRADLEY JOHN SCHULTZ (CRNA) under NPI 1114708328.
Is BRADLEY JOHN SCHULTZ (CRNA)'s NPI status active today?
Active status means BRADLEY JOHN SCHULTZ (CRNA)'s NPI record is not deactivated in the public file.
What type of care does BRADLEY JOHN SCHULTZ (CRNA) provide?
BRADLEY JOHN SCHULTZ (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit BRADLEY JOHN SCHULTZ (CRNA) in Appleton, Wisconsin?
For routing, start with Appleton, Wisconsin for BRADLEY JOHN SCHULTZ (CRNA), then verify phone and hours locally.
Can I export BRADLEY JOHN SCHULTZ (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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