Vincent Bernard Bogan, MSN-CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Fort Belvoir, VA
NPI 1174569263 · NPPES record last updated Jan 25, 2011
Key facts
- NPI
- 1174569263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0024164349 (VA)
- Practice address
- 9501 Farrell Rd
Dewitt Army Community Hospital
Fort Belvoir, VA 22060-5901 - Phone
- (703) 805-0342
- Fax
- (703) 805-0731
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Old Dominion Anesthesia LLC
Practice addresses (Care Compare)
14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181
3914 Centreville Rd
Suite 350
Chantilly, VA 20151-3289
Phone (703) 956-6831
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 74.54
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040225000079 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284520461 | Reassigns benefits to 3 organizations |
| I20080415000316 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284520461 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164349 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Ambulatory Anesthesia Providers LLC | Current |
Accepting new patients | |
| American Anesthesiology of Virginia PC | Current |
Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current |
Accepting new patients | |
| Inova Cares - Community | Current |
Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current |
Accepting new patients | |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Current |
Accepting new patients | |
| American Anesthesiology Associates of Virginia, Inc | Past | Accepting new patients | |
| MCV Associated Physicians | Past |
Accepting new patients | |
| Pain Management Associates, LLC | Past | Accepting new patients | |
| Manassas Anesthesia Associates PC | Past | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cumberland Anesthesia Associates P a | Past | Accepting new patients | |
| Washington Hospital Center Corp | Past | Accepting new patients | |
| Northern Virginia Anesthesia Assoc. | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296
9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260
8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
8501 Arlington Blvd
Ste 500
Fairfax, VA 22031
Phone (703) 876-0734
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
1115 Boulders Pkwy
Ste 210
North Chesterfield, VA 23225
Phone (804) 672-4040
1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700
14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024164349 | VA | Yes |
Addresses
Primary practice location
9501 Farrell Rd
Dewitt Army Community Hospital
Fort Belvoir, VA 22060-5901
Mailing address
8402 Sego Lily CT
Lorton, VA 22079
Phone (703) 919-7859
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174569263 | Medicaid | VA |
Other providers in Fort Belvoir, VA
- Christine Jo Bigham
- Melanie Binversie
- Teresa Bisnett
- Leighann Black
- Barbara Blount
- Brittany Noelle Bond
- Patricia Bonilla
- Elizabeth C Bonometti
- Vanessa Caroline Boodoo
- James Henry Boone
All providers in Fort Belvoir, VA · Certified Registered Nurse Anesthetist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2011. 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.