Individual provider Active NPI

Ander Michelle Boggs, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1750923264
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP145347 Issued in TX
Practice address
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone
(817) 250-2000
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP145347 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X 901794 TX

Addresses

Primary practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Mailing address

PO Box 840853
Dallas, TX 75284-9641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200413000866 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618306796 Reassigns benefits to 5 organizations
I20210128002642 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618306796 Reassigns benefits to 1 organization
I20231011002023 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618306796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 856-0665

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
7253NCMDGeneral Practice Dentistry
901794TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Nov 1, 2021 Accepting new patients
Arena Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2025 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2023 Accepting new patients
Synergy Anesthesia Management CurrentSince Oct 1, 2021 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients

Locations

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

8300 Health Park
Ste 309
Raleigh, NC 27615
Phone (919) 571-1925

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

14850 Quorum Dr
Ste 440
Dallas, TX 75254
Phone (833) 749-8324

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

809 W Harwood Rd
Ste 101
Hurst, TX 76054
Phone (817) 283-5252

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1750923264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "ANDER",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP145347",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "901794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.