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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (54 clinicians)

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 Hospital · Topeka, KS · CCN 170086

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
AP60246708WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA Current
since Apr 3, 2023
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 14, 2020.

{
    "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

All providers in Atchison, KS · Certified Registered Nurse Anesthetist in Kansas

Sources for this page

Verify at the official NPI Registry.