Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley J Boettcher, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1295906675

Bradley J Boettcher, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Green Bay, Wisconsin. Qualified in 2008, 18 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301-3505
Phone: (920) 445-7222
Fax: (920) 445-7289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 Illinois Ave, Stevens Point, WI 54481-3114 — (715) 346-5000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3411 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 141347 (WI)

Record details

NPI number1295906675
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 13, 2008
Last updated in NPPESNovember 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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