Active NPI
Jennifer Ann Boyer, CRNA
- Certified Registered Nurse Anesthetist
- Polson, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100911
- Practice address
- 6 13TH Ave E
Polson, MT 59860 - Phone
- (406) 883-5680
- Fax
- (406) 883-8910
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 16701 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | 100911 | MT | Primary |
Addresses
Primary practice location
6 13TH Ave E
Polson, MT 59860
Mailing address
6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5680
Other practice location 1
106 Ridgewater Dr
Suite B
Polson, MT 59860-8977
Phone (406) 883-7709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807572000 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16701 | ID | MD | Certified Registered Nurse Anesthetist |
| 100911 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| M & M Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Butte Pain and Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Missoula Community Health Services, Inc. | Current | Accepting new patients | |
| Missoula Community Health Services, Inc. | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Capital Medical Anesthesia PLLP | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Powell County Memorial Hospital Association Inc | Past | Accepting new patients | |
| Interventional Pain Consultants PA | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
1930 W Broadway St
Ste B
Missoula, MT 59808
Phone (406) 541-6836
700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277
1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Butte, MT
- NPI 1205869468
-
- Critical Access Hospital
- Anaconda, MT
- NPI 1205887924
-
- Certified Registered Nurse Anesthetist
- Missoula, MT
- NPI 1558733709
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Critical Access Hospital
- Superior, MT
- NPI 1902990005
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Family Medicine Physician
- Saint Regis, MT
- NPI 1225836554
-
- Certified Registered Nurse Anesthetist
- Helena, MT
- NPI 1033142245
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Deer Lodge, MT
- NPI 1841414026
-
- Interventional Pain Medicine Physician
- Lewiston, ID
- NPI 1356353239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1205933959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 13TH AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "598605315",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 13TH AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "59860",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910"
}
],
"practiceLocations": [
{
"address_1": "106 Ridgewater Dr",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Polson",
"state": "MT",
"postal_code": "598608977",
"country_code": "US",
"telephone_number": "406-883-7709",
"fax_number": "406-883-2042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "16701",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "100911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807572000",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Polson, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.