Individual provider Active NPI

Todd D Boswell, CRNA

  • Certified Registered Nurse Anesthetist
  • Port Huron, MI
National Provider Identifier
1043344484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704211632 Issued in MI
Practice address
2601 Electric Ave
Port Huron, MI 48060-6587
Phone
(810) 985-1550
Fax
(810) 966-3104
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704211632 MI Primary

Addresses

Primary practice location

2601 Electric Ave
Port Huron, MI 48060-6587

Mailing address

3701 Croswell Rd
Croswell, MI 48422-9398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000038 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638276918 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Dec 9, 2025 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 30, 2010 Accepting new patients
Covenant Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2010 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Mar 4, 2019 Accepting new patients
Marlette Regional Hospital Current Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043344484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 CROSWELL RD",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484229398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606587",
            "telephone_number": "810-985-1550",
            "fax_number": "810-966-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "TODD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704211632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.