Individual provider Active NPI

Angela Christine Boll, CRNA

  • Certified Registered Nurse Anesthetist
  • Storm Lake, IA
National Provider Identifier
1114542834
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
127615 Issued in IA
Practice address
1525 W 5TH St
Storm Lake, IA 50588-3027
Phone
(573) 686-5550
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 127615 IA Primary

Addresses

Primary practice location

1525 W 5TH St
Storm Lake, IA 50588-3027

Mailing address

2511 N Westwood Blvd Ste B
Poplar Bluff, MO 63901-2303
Phone (573) 686-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200812000195 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224454004 Reassigns benefits to 4 organizations
I20220318000417 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224454004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buena Vista Regional Medical CenterGroup PAC ID 3476464421, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

1525 W 5TH St
Storm Lake, IA 50588-3027
Phone (712) 732-4030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127615IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital Current Accepting new patients
Sioux Valley Memorial Hospital Association Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Ida County Iowa Community Hospital CurrentSince Oct 14, 2025 Accepting new patients
Sioux Valley Memorial Hospital Association Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2021 Accepting new patients
Ida County Iowa Community Hospital CurrentSince Oct 14, 2025 Accepting new patients
Greater Siouxland Anesthesiology & Pain Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2022 Accepting new patients
Buena Vista Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Ida County Iowa Community Hospital CurrentSince Oct 14, 2025 Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

400 10th St E
Waconia, MN 55387

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

Interoperability endpoints

  • Direct secure messaging: aboll748120@direct.unitypoint.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1114542834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N WESTWOOD BLVD STE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012303",
            "telephone_number": "573-686-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883027",
            "telephone_number": "573-686-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLL",
        "first_name": "ANGELA",
        "middle_name": "CHRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "127615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.