Jeffrey E Bosanco, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

55620 Issued in KS

Practice address

929 N Saint Francis St
Wichita, KS 67214-3821

Phone

(800) 374-5326

Fax

(800) 374-7656

NPI assigned

Aug 27, 2007

Last updated

Aug 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Spine Anesthesia Corporation PAGroup PAC ID 1153586821, 56 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.27 of 100Reported as group

Quality

74.54

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Kansas Spine Anesthesia Corporation PA

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1720345911

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Wichita Ambulatory Anesthesia Providers LLC

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1649754789
  Medicare reassignment
• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1124211792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672012897",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSANCO",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55620",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1390042011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "078310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "145988",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200508480A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CQ2302",
            "identifier": "P00606333",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy L Bornholdt, PA
• Kate Borniger, LMSW
• Jesse Borosky, MA, LMLP
• Ellen E. Borst, D.O.
• Marisa Bos-Amphonephong
• Shanell Bosch, AGACNP-BC
• Janet Boschert Boschert, OD
• Michael S Bosh, MD
• Trisha L Bosken, SLP
• Kresta L Bosley, MS ATC LAT

• Certified Registered Nurse Anesthetist in Wichita, KS
• Providers in Wichita, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.