Individual provider Active NPI

Marc Bozenski, CRNA

  • Certified Registered Nurse Anesthetist
  • Exeter, NH
National Provider Identifier
1992037899
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
059042-23 Issued in NH
Practice address
5 Alumni Dr.
Anesthesia Dept
Exeter, NH 03833-2128
Phone
(603) 580-6624
Fax
(603) 580-6620
NPI assigned
Feb 3, 2010
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 059042-23 NH Primary

Addresses

Primary practice location

5 Alumni Dr.
Anesthesia Dept
Exeter, NH 03833-2128

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 777-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100510000072 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577691773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stratham Anesthesia Associates PLLCGroup PAC ID 7416007950, 26 clinicians

Practice addresses (Care Compare)

16 Keewaydin Dr
Salem, NH 03079-2839
Phone (603) 401-6466

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Nov 13, 2019 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Nov 13, 2019 Accepting new patients
Anesthesia Care Group PC CurrentSince Oct 1, 2018 Accepting new patients
Seacoast Anesthesia PA Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1992037899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-777-1096",
            "fax_number": "603-580-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR.",
            "address_2": "ANESTHESIA DEPT",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-6624",
            "fax_number": "603-580-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZENSKI",
        "first_name": "MARC",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "059042-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.