Jacob D Boston, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP61201940 Issued in WA

Practice address

1615 Delaware St
Longview, WA 98632-2367

Phone

(360) 414-2000

Fax

(360) 414-7638

NPI assigned

Aug 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Anesthesia Care LLCGroup PAC ID 7214187210, 17 clinicians

Advanced Anesthesia Services PLLCGroup PAC ID 6608159017, 39 clinicians

Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
• Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

Merit-based Incentive Payment System (MIPS)

Final score

96.77 of 100Reported as group

Quality

88.09

Promoting interoperability

100

Improvement activities

40

Cost

84.48

Merit-based Incentive Payment System (MIPS)

Final score

94.37 of 100Reported as group

Quality

92.31

Promoting interoperability

100

Improvement activities

40

Cost

80.9

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.

• Advanced Anesthesia Services, PLLC

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
  • NPI 1700211786

  Single Specialty, WA

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751

  OR, Single Specialty, WA

  Medicare reassignment Care Compare group NPD
• Complete Anesthesia Care LLC

  • Certified Registered Nurse Anesthetist
  • Portland, OR
  • NPI 1932464492

  OR, Single Specialty

  Medicare reassignment Care Compare group NPD
• Peacehealth

  • Multi-Specialty Clinic/Center
  • Longview, WA
  • NPI 1720056187

  WA

  Medicare reassignment Care Compare group
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253

  Single Specialty, WA

  Medicare reassignment NPD
• Emerald Valley Anesthesia

  • Certified Registered Nurse Anesthetist
  • Springfield, OR
  • NPI 1679355820

  OR, Single Specialty

  Medicare reassignment NPD
• Metropolitan Anesthesia LLC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1720387954

  OR, Single Specialty

  Medicare reassignment NPD
• Anesthetic Solutions, Inc

  • Certified Registered Nurse Anesthetist
  • Medford, OR
  • NPI 1477022259

  WA

  Medicare reassignment
• Peacehealth

  • General Acute Care Hospital
  • Longview, WA
  • NPI 1073510277
  Care Compare group
• Peacehealth

  • Prosthetic/Orthotic Supplier
  • Longview, WA
  • NPI 1184106437
  Care Compare group
• Peacehealth

  • Urology Physician
  • Longview, WA
  • NPI 1255977591
  Care Compare group
• Peacehealth

  • Durable Medical Equipment & Medical Supplies
  • Longview, WA
  • NPI 1801909171
  Care Compare group

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

• Peacehealth

  • General Acute Care Hospital
  • Longview, WA
  • NPI 1073510277

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Centralia, WA
  • NPI 1376624981

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1558035527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N EMPORIA AVE APT 611",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022554",
            "telephone_number": "503-516-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-2000",
            "fax_number": "360-414-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523583",
            "country_code": "US",
            "telephone_number": "770-643-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "JACOB",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "149114",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61201940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shad Bonser, AAC
• Sean Booi
• Marta Elizabeth Bordeaux
• Lauren Borden
• Tobin Andrew Boslaugh, PHARMD
• Marc Anthony Bouchard, DO
• John William Boucher, M.D.
• Ashley Bowers, SUDP
• Annie O Bowlby, LMP
• Daren D Bowlby, D.C.

• All providers in Longview, WA
• Certified Registered Nurse Anesthetist in Washington

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

Verify at the official NPI Registry.