Bradley Goll
NPI 1770121089ActiveIndividual· Nurse Anesthetist, Certified Registered· Omak, WA
Nurse Anesthetist, Certified Registered with Grant County Public Hospital District 1 and 1 other group, practicing in Omak, Washington. Medicare paid $10,802 for services to 75 patients in 2024. Lists Mason General Hospital & Family of Clinics and 1 other hospital as hospital affiliations.
Overview
| NPI | 1770121089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 17, 2019 |
| Last updated in NPPES | Dec 17, 2019 |
| Certified by provider | Dec 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 50150 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 76 across 28 procedure codes |
| Paid by Medicare | $10,802 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Grant County Public Hospital District 1Moses Lake, WA · 116 clinicians
- Public Hospital District No 1 of Mason CountyShelton, WA · 57 clinicians
Hospital affiliations
- Mason General Hospital & Family of ClinicsShelton, WA
- Samaritan HospitalMoses Lake, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse anesthetists in Omak
- 1376873844
- 1710132451
- 1073110029
- 1265743645
- 1356559280
- 1518206390
- 1588086722
- 1639584600
- 1649680620
- 1144467713