Rebecca Rene' Boust, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Atchison, KS
NPI 1043591001 · NPPES record last updated Apr 14, 2020
Key facts
- NPI
- 1043591001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP60246708 (WA)
- Practice address
- 800 Ravenhill Dr
Atchison, KS 66002-9204 - Phone
- (913) 367-5360
- Fax
- (913) 674-2013
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates of Topeka PA
Practice addresses (Care Compare)
1500 SW 10H Ave
Topeka, KS 66604-1301
823 SW Mulvane St
Suite 210
Topeka, KS 66606-1679
Phone (785) 235-3451
Hospital & facility affiliations
- Stormont Vail Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170905003273 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4789850165 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60246708 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Kansas City PA | Current |
Accepting new patients | |
| Harborview Medical Center | Past | Accepting new patients |
Locations
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60246708 | WA | Yes |
Addresses
Primary practice location
800 Ravenhill Dr
Atchison, KS 66002-9204
Mailing address
810 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-5360
NPI Registry JSON
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1043591001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 RAVENHILL DR",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660029204",
"telephone_number": "913-367-5360",
"fax_number": "913-674-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RAVENHILL DR",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660029204",
"telephone_number": "913-367-5360",
"fax_number": "913-674-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUST",
"first_name": "REBECCA",
"middle_name": "RENE'",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60246708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atchison, KS
- Benedictine College
- Kaylee Bennett
- Andrea Leigh Bock-Kunz
- Deann Lynn Boldridge
- Sheila Boos
- Heidi Bradford
- Shaun Brannen
- Jennifer Diane Brockhoff
- Karla Brockman
- Kristen Brown
All providers in Atchison, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.