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MICHELLE LEIGH BOUDOULAS CRNA
NPI 1053635664
Nurse Anesthetist, Certified Registered in Columbus, OH

Active since March 25, 2010
90.38/100
CMS Quality Rating
111 S GRANT AVE FL 3, COLUMBUS, OH 43215(614) 566-9871(614) 566-9503 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Leigh Boudoulas Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE LEIGH BOUDOULAS CRNA (NPI 1053635664) is an individual nurse anesthetist, certified registered in Columbus, Ohio, licensed in Ohio (11447-NA) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1053635664
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMICHELLE LEIGH BOUDOULASCredential: CRNA
Location Address111 S GRANT AVE FL 3Columbus, OH 43215-4701
Mailing Address5350 Frantz RdDublin, OH 43016-4259
Phone(614) 566-9871
Fax(614) 566-9503
Sole ProprietorNo
Enumeration DateMarch 25, 2010
Last NPPES UpdateNovember 20, 2013
✔ NPI 1053635664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · 11447-NA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN356051 (OH)
111 S GRANT AVE FL 3, Columbus, OH 43215
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Leigh Kool

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Leigh Boudoulas Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Michelle Boudoulas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
Same address
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808
Ophthalmic Anesthesia Associates Inc
7.8 mi
Anesthesiology
5965 EAST BROAD STREET, STE 460
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 54 clinicians in this Medicare group
NPI 1023069515 (614) 761-1255
Midwest Physician Anesthesia Services, Inc.
8.1 mi
Anesthesiology
5151 REED ROAD, SUITE 225-C
Columbus, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 197 clinicians in this Medicare group
NPI 1598703951 (614) 884-0641
Anesthesia Group Practice, Inc
87 mi
Anesthesiology
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 402 clinicians in this Medicare group
NPI 1417951948 (513) 817-1150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONY TRE LYBARGER CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871
RYAN LEE TURNER CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KAYLA MARIE STEINHORST DNP, CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871
DEVIN J PONCSAK CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871
MS. JULIE M COLE CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871
LYNDSAY LITMAN CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871
KATONYA CIERRA PEIFFER CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871
DR. FREDRICK H MYERS JR. CRNA
Nurse Anesthetist, Certified Registered
111 S GRANT AVE FL 3
COLUMBUS, OH 43215
Franklin County (614) 566-9871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Boudoulas's NPI number?

The NPI number for Michelle Boudoulas is 1053635664. It was assigned to this individual provider in the NPPES registry on March 25, 2010. The provider is also known as Michelle Leigh Kool.

Where is Michelle Boudoulas located?

Michelle Boudoulas practices at 111 S Grant Ave Fl 3, Columbus, OH 43215. The listed phone number is (614) 566-9871.

What is Michelle Boudoulas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michelle Boudoulas enrolled in Medicare?

Yes. Michelle Boudoulas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Boudoulas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Boudoulas reassigns Medicare benefits to 4 organizations: Ohiohealth Corporation (Columbus, OH), Ophthalmic Anesthesia Associates Inc (Columbus, OH), Midwest Physician Anesthesia Services, Inc. (Columbus, OH) and Anesthesia Group Practice, Inc (Montgomery, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Boudoulas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Boudoulas accept?

Health plans from CareSource list Michelle Boudoulas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Boudoulas was last updated on November 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.