Individual provider Active NPI

Bradley Yensho

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1821415993
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28171524A Issued in IN
Practice address
600 East Blvd
Elkhart, IN 46514-2483
Phone
(574) 533-3334
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28171524A IN Primary

Addresses

Primary practice location

600 East Blvd
Elkhart, IN 46514-2483

Mailing address

961 Maple Hill Dr
Erie, PA 16509-0912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612002275 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941424923 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians
Dialysis Vascular Specialists of Indiana LLCGroup PAC ID 5092194068, 3 clinicians
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians

Practice addresses (Care Compare)

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000

2140 N Capitol Ave
Suite 100
Indianapolis, IN 46202-1225
Phone (317) 644-1404

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Woodlawn Hospital Hospital, Rochester, IN, CCN 151313
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28171524AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Indianapolis Anesthesia LLC CurrentSince Aug 8, 2024 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Aas Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
United Surgeons, LLC Current Accepting new patients
The South Bend Clinic LLC CurrentSince Apr 26, 2022 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
The South Bend Clinic, LLC CurrentSince Apr 26, 2022 Accepting new patients
Cardinal Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Australia Anesthesia Management LLC CurrentSince Jan 17, 2025 Accepting new patients

Locations

8057 Collection Ctr Dr
Chicago, IL 60693

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

51050 Bittersweet Rd
Granger, IN 46530
Phone (718) 208-0446

8424 Naab Rd
Indianapolis, IN 46260
Phone (317) 871-7308

900 I St
Laporte, IN 46350
Phone (219) 324-1670

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

Interoperability endpoints

  • FHIR API: https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1821415993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MAPLE HILL DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165090912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-533-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENSHO",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28171524A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.