Bradlee Fagerberg
NPI 1609438316ActiveIndividual· Anesthesiologist Assistant· Trinity, FL
Anesthesiologist Assistant with Northstar Anesthesia of Florida LLC, practicing in Trinity, Florida. Medicare paid $13,433 for services to 143 patients in 2024. Lists Tampa General Hospital Brooksville as a hospital affiliation.
Overview
| NPI | 1609438316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 2, 2019 |
| Last updated in NPPES | Jul 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 143 |
|---|---|
| Services billed | 149 across 37 procedure codes |
| Paid by Medicare | $13,433 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Northstar Anesthesia of Florida LLCSpring Hill, FL · 44 clinicians
Hospital affiliation
- Tampa General Hospital BrooksvilleBrooksville, FL
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