Individual provider Active NPI

Brad Henry Greisen, CRNA

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
National Provider Identifier
1396979985
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101087 Issued in NE
Practice address
115 East 52ND St
Kearney, NE 68847
Phone
(308) 236-5506
Fax
(308) 236-7089
NPI assigned
May 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 62424 NE
Certified Registered Nurse Anesthetist 367500000X 101087 NE Primary

Addresses

Primary practice location

115 East 52ND St
Kearney, NE 68847

Mailing address

115 E 52ND St
Kearney, NE 68847-0502

Other practice location 1

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-4557

Other identifiers 1

IdentifierTypeStateIssuer
47068752615MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000292 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123179355 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians
Associated Anesthesiologists, PCGroup PAC ID 4385630391, 101 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Good Samaritan Hospital
Kearney, NE 68847-2908
Phone (308) 865-7100

3533 Praireview St
Grand Island Regional Medical Cente
Grand Island, NE 68803
Phone (308) 675-4557

Hospital & facility affiliations

  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
62424NEMDRegistered Nurse
101087NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Health Center Current Accepting new patients
North Platte Surgery Center LLC Current Accepting new patients
Rock County Hospital Current Accepting new patients
Associated Anesthesiologists PC CurrentSince Jul 1, 2022 Accepting new patients
Kearney Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2011 Accepting new patients
North Platte Surgery Center Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Phelps Memorial Health Center Nurse Anesthetist, Certified Registered CurrentSince May 23, 2023 Accepting new patients
Phelps Memorial Health Center CurrentSince May 23, 2023 Accepting new patients
Lexington Regional Health Center Current Accepting new patients

Locations

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

115 E 52nd St
Kearney, NE 68847
Phone (308) 236-5506

10 E 31st St
#H
Kearney, NE 68847
Phone (308) 865-7100

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1396979985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68847",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 Prairieview St",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034409",
            "country_code": "US",
            "telephone_number": "308-675-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREISEN",
        "first_name": "BRAD",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "62424",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068752615",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.