Clint Albert Bollock, MSN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101417 Issued in NE

Practice address

2808 S 143Rd PLZ
Omaha, NE 68144-5611

Phone

(402) 609-1485

NPI assigned

Apr 16, 2014

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthoanesthesia PCGroup PAC ID 2860826443, 31 clinicians

Anesthesia West PCGroup PAC ID 4789596834, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• Midwest Surgical Hospital LLC Hospital, Omaha, NE, CCN 280131
• Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia West, P.C.

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1508899568
  Medicare reassignment Care Compare group NPD
• Orthoanesthesia, PC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1184265274

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Leighow Anesthesia & Medical Aesthetics LLC

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
  • NPI 1376936112

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hinners Geriatric Medicine, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1841798477
  NPD (past)
• Diagnostic & Int Med Assoc PC

  • Internal Medicine Physician
  • Council Bluffs, IA
  • NPI 1104870690
  NPD (past)

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

• Midwest Surgical Hospital, L.L.C.

  • Special Hospital
  • Omaha, NE
  • NPI 1013122571
  Care Compare affiliation
• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• Nebraska Orthopaedic Hospital LLC

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356345318
  Care Compare affiliation

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1629497755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17245 COLONY DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361403",
            "telephone_number": "402-206-1757",
            "fax_number": "507-474-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S 143RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445611",
            "telephone_number": "402-609-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLOCK",
        "first_name": "CLINT",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Boll, RN
• Jessica Bollig, RDN
• Mariha Kay Bollig
• Dwight James Bollinger, M.D.
• Lea Bollman
• Benjamin Bolmeier, ARNP
• Sarah Bolouvi
• Thomas John Bolt, DDS
• Stefanie L Bolte
• Joan Bolter

• Certified Registered Nurse Anesthetist in Omaha, NE
• Providers in Omaha, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.