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BENJAMIN JOSEPH BOEHNLEIN CRNA
NPI 1063965234
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since July 25, 2016
145 KIMEL PARK DR, SUITE 120, WINSTON SALEM, NC 27103(336) 768-3212(336) 768-9019 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Benjamin Joseph Boehnlein Crna NPPES

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

BENJAMIN JOSEPH BOEHNLEIN CRNA (NPI 1063965234) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (252342) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1063965234
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBENJAMIN JOSEPH BOEHNLEINCredential: CRNA
Location Address145 KIMEL PARK DR, SUITE 120Winston Salem, NC 27103-6984
Mailing Address145 Kimel Park Dr, Suite 120Winston Salem, NC 27103-6984 · (336) 768-3212 · Fax (336) 768-9019
Phone(336) 768-3212
Fax(336) 768-9019
Sole ProprietorNo
Enumeration DateJuly 25, 2016
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1063965234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 252342
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.
145 KIMEL PARK DR, Winston Salem, NC 27103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Joseph Boehnlein Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

5

Medicare enrollment records show Benjamin Boehnlein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Triad Anesthesia, PA
Same address
Anesthesiology
145 KIMEL PARK DR, SUITE 120
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 119 clinicians in this Medicare group
NPI 1467497081 (336) 768-3212
Twin City Anesthesia PLLC
16 mi
Nurse Anesthetist, Certified Registered
402 W KING ST
King, NC 27021
  • Reassigned Medicare billing, North Carolina enrollment
  • 24 clinicians in this Medicare group
NPI 1124582648 (336) 983-9617
Carolina Anesthesiology, PA
17 mi
Anesthesiology
401 FERNDALE BLVD
High Point, NC 27262
  • Reassigned Medicare billing, North Carolina enrollment
  • 90 clinicians in this Medicare group
NPI 1629032347 (336) 882-2567
Providence Anesthesiology Associates, P.A.
68 mi
Anesthesiology
3735 GLENLAKE DR STE 250
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Providence Anesthesiology Associates PA
  • 483 clinicians in this Medicare group
NPI 1396739884 (704) 749-5800
Medstream Anesthesia PLLC
959 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, North Carolina enrollment
  • 493 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
62 services59 patients
Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
17 services17 patients
Anesthesia for other procedure or exam of knee joint using an endoscope 01400
Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.
15 services15 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
14 services14 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
13 services13 patients

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.

YETTA HARDY CLARK CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
CARIE SUE NUNLEY CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
HOLLY C PEGRAM CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
TRAVIS HAROLD JACKSON MD
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-6347
PEGGY B BRANCH CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
MARCUS ANTHONY HELMS CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
PEGGY LEE JONES CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
KRISTINA LOUISE FOARD CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212

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 Benjamin Boehnlein's NPI number?

The NPI number for Benjamin Boehnlein is 1063965234. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Benjamin Boehnlein located?

Benjamin Boehnlein practices at 145 Kimel Park Dr Suite 120, Winston Salem, NC 27103. The listed phone number is (336) 768-3212.

What is Benjamin Boehnlein's specialty?

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

Is Benjamin Boehnlein enrolled in Medicare?

Yes. Benjamin Boehnlein is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Benjamin Boehnlein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Boehnlein reassigns Medicare benefits to 5 organizations: Piedmont Triad Anesthesia, PA (Winston-salem, NC), Twin City Anesthesia PLLC (King, NC), Carolina Anesthesiology, PA (High Point, NC), Providence Anesthesiology Associates, P.A. (Charlotte, NC) and Medstream Anesthesia PLLC (Richardson, TX). 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 Benjamin Boehnlein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Boehnlein was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.