Active NPI
Mary Boers, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 112814
- Practice address
- 1755 Kirby Pkwy
Suite 330
Memphis, TN 38120 - Phone
- (901) 725-5846
- Fax
- (901) 726-4827
- NPI assigned
- Jun 16, 2008
- Last updated
- Oct 5, 2026
- 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 | 43-558354 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 112814 | TN | Primary |
Addresses
Primary practice location
1755 Kirby Pkwy
Suite 330
Memphis, TN 38120
Mailing address
PO Box 171306
Memphis, TN 38187-1306
Phone (800) 809-2106
Other practice location 1
500 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, KS
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7600 Airways Blvd
Suite D
Southaven, MS 38671-5138
Phone (662) 548-2190
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13702 | TN | MD | Clinical Social Worker |
| 112814 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearny County Hospital | Current | Accepting new patients | |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kearny County Hospital | Current | Accepting new patients |
Locations
500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111
6947 Crumpler Blvd
Ste 105
Olive Branch, MS 38654
Phone (662) 893-3306
7600 Airways Blvd
Ste D
Southaven, MS 38671
Phone (662) 349-7477
825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Lakin, KS
- NPI 1821096322
-
dba Family Health Center
- Health Service Clinic/Center
- Deerfield, KS
- NPI 1114282563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1487814133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171306",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381871306",
"telephone_number": "800-809-2106",
"fax_number": "334-386-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 KIRBY PKWY",
"address_2": "SUITE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-725-5846",
"fax_number": "901-726-4827"
}
],
"practiceLocations": [
{
"address_1": "500 E Thorpe St",
"address_purpose": "LOCATION",
"city": "Lakin",
"state": "KS",
"postal_code": "678609625",
"country_code": "US",
"telephone_number": "620-355-7550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOERS",
"first_name": "MARY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-558354",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "112814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.