Active NPI
Andrew Joseph Boggs, CRNA
- Certified Registered Nurse Anesthetist
- Trenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704266309
- Practice address
- 5450 Fort St
Trenton, MI 48183-4601 - Phone
- (734) 671-3800
- NPI assigned
- Nov 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704266309 | MI | Primary |
Addresses
Primary practice location
5450 Fort St
Trenton, MI 48183-4601
Mailing address
2006 Hogback Rd
Suite 5a
Ann Arbor, MI 48105-9750
Phone (734) 786-2317
Other practice location 1
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1051 S Telegraph Rd
100 Surgical Inst of Monroe
Monroe, MI 48161-5514
Phone (734) 244-5383
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2909
Hospital & facility affiliations
- St Joe Mercy Hospital System Livonia
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704266309 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Mercy Hospital Crna | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anupama Shah MD, PLC | Current | Accepting new patients | |
| Stephen J. Watts, MD, PLLC | Past | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
36622 5 Mile Rd
Ste 201
Livonia, MI 48154
Phone (734) 351-5272
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383
1051 S Telegraph Rd
Ste 10
Monroe, MI 48161
Phone (734) 244-5383
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Monroe, MI
- NPI 1679864623
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Wyandotte, MI
- NPI 1548352412
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1902270911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HOGBACK RD",
"address_2": "SUITE 5A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059750",
"telephone_number": "734-786-2317",
"fax_number": "734-786-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 FORT ST",
"city": "TRENTON",
"state": "MI",
"postal_code": "481834601",
"telephone_number": "734-671-3800"
}
],
"practiceLocations": [
{
"address_1": "36475 Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541971",
"country_code": "US",
"telephone_number": "734-655-2031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGGS",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-15",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704266309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.