Active NPI
Ander Michelle Boggs, CRNA
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP145347
- 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
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 | 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, NC
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7253 | NC | MD | General Practice Dentistry |
| 901794 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Arena Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valiant Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Synergy Anesthesia Management | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1780251595
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1588906812
-
- Anesthesiology Physician
- Ruston, LA
- NPI 1023244779
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Nurse Anesthetist, Certified Registered
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.