Individual provider Active NPI

Bradley Kenneth Heffelfinger, CRNA

  • Certified Registered Nurse Anesthetist
  • Lithia, FL
National Provider Identifier
1841882743
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11011381 Issued in FL
Practice address
18716 Holly Pine TRL
Lithia, FL 33547-1767
Phone
(815) 383-0537
NPI assigned
Feb 11, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 11011381 FL Primary

Addresses

Primary practice location

18716 Holly Pine TRL
Lithia, FL 33547-1767

Mailing address

18716 Holly Pine TRL
Lithia, FL 33547-1767
Phone (815) 383-0537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, KY, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210429000464 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335112598 Reassigns benefits to 1 organization
I20230224001730 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335112598 Reassigns benefits to 2 organizations
I20230614003777 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335112598 Reassigns benefits to 1 organization
I20240415001957 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335112598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group, P.C.Group PAC ID 6901702307, 439 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Practice addresses (Care Compare)

110 29TH Ave N
Nashville, TN 37203-1448
Phone (615) 327-4304

110 29TH N Ave
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304

111 Hwy 70 E
Dickson, TN 37055-2080
Phone (615) 446-0446

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35992TNMDPharmacist
11011381FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2026 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2021 Accepting new patients
T J Samson Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 3, 2024 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Apr 1, 2024 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Nov 16, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2021 Accepting new patients

Locations

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888089
Knoxville, TN 37995

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

Organizations & group practices 7

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

Hospital & facility affiliations 3

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1841882743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18716 HOLLY PINE TRL",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335471767",
            "telephone_number": "815-383-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18716 HOLLY PINE TRL",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335471767",
            "telephone_number": "815-383-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELFINGER",
        "first_name": "BRADLEY",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11011381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.