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

Bradley Thomas Wagner, CRNA

Individual provider Nurse Practitioner · NPI 1043581770

Bradley Thomas Wagner, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Atkinson, Wisconsin. Qualified in 2016, 10 years ago. Practices with Fort Healthcare Inc, a 162-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone: (920) 568-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 190070-30 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 190070-30 (WI)

Record details

NPI number1043581770
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fort Healthcare Inc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Atkinson