Cynthia D Bolena, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

045589 Issued in AZ

Practice address

1600 Willow Creek Rd
Prescott, AZ 86301-1108

Phone

(928) 776-7477

Fax

(928) 776-0693

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

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 and National Provider Directory roles.

• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732

  KS, MO

  Medicare reassignment Care Compare group NPD
• Forest Country Anesthesia, P.C.

  • Anesthesiology Physician
  • Flagstaff, AZ
  • NPI 1700824406
  NPD (past)
• Midwest Heart & Vascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Overland Park, KS
  • NPI 1760736615
  NPD (past)
• Mosaic Anesthesia & Perioperative Services, PA

  • Anesthesiology Physician
  • New Bern, NC
  • NPI 1962459115
  NPD (past)

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

• Midwest Division-Oprmc LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1285643288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138436",
            "telephone_number": "480-892-8400",
            "fax_number": "480-892-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011108",
            "telephone_number": "928-776-7477",
            "fax_number": "928-776-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENA",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "045589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836489",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamala M Boast, D.O.
• John Steven Bockelman, RRT
• Maria Therese Boedigheimer, PA C
• Robert Boehland, DC
• Jarred Scott Bogardus, PHARM. D.
• Janet Bontrager
• Ronald Bookman, LMSW
• April Boothe, RN
• Lawrence H Borish, DO
• Zabrina Boudreau, MS, LPC

• All providers in Prescott, AZ
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.