NPIMap

Chad E Boen, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Grand Forks, ND

NPI 1215034095 · NPPES record last updated Apr 7, 2009

Key facts

NPI
1215034095
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
R26543 (ND)
Practice address
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone
(701) 780-5000
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 9

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, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health System (675 clinicians)
Riverview Healthcare Association (46 clinicians)

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9200

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

4500 S Washington St
Suite B
Grand Forks, ND 58201-7217
Phone (701) 732-7400

Hospital & facility affiliations

  • Riverview Hospital Hospital · Crookston, MN · CCN 241320
  • Altru Hospital Hospital · Grand Forks, ND · CCN 350019

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in ND, MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040505000347 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133117443 Reassigns benefits to 1 organization
I20070205000622 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133117443 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1277MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Current
since Sep 2, 2003		 Accepting new patients
Altru Health System Current Accepting new patients
Altru Health System Current
since Aug 1, 2019		 Accepting new patients
Grand Itasca Clinic and Hospital Current
since Oct 13, 2008		 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Grand Itasca Clinic and Hospital Current
since Oct 13, 2008		 Accepting new patients
Sanford Health Network North Current
since Feb 1, 2018		 Accepting new patients
Riverview Healthcare Association Current
since Nov 18, 2014		 Accepting new patients
Sanford Health Network North Current Accepting new patients
Riverview Healthcare Association Current
since Nov 18, 2014		 Accepting new patients
Altru Health System Current
since Sep 2, 2003		 Accepting new patients
Sanford Health Network North Current
since Feb 1, 2018		 Accepting new patients
Riverview Healthcare Association Current
since Jan 12, 2026		 Accepting new patients
Altru Health System Past Accepting new patients

Locations

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

126 SE 1st Ave
Grand Rapids, MN 55744
Phone (218) 326-3401

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R26543 ND Yes

Addresses

Primary practice location

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Mailing address

PO Box 6002
Grand Forks, ND 58206-6002
Phone (701) 780-5000

Other identifiers

IdentifierTypeStateIssuer
12966MedicaidND

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Certified Registered Nurse Anesthetist in North Dakota

Sources for this page

Verify at the official NPI Registry.