Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ROGER L DEBOER RN, CRNA
NPI 1164413647
Nurse Anesthetist, Certified Registered in Saint Cloud, MN

Active since November 02, 2005
1406 6TH AVE N, SAINT CLOUD, MN 56303(320) 251-2700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Roger L Deboer Rn, Crna NPPES

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

ROGER L DEBOER RN, CRNA (NPI 1164413647) is an individual nurse anesthetist, certified registered in Saint Cloud, Minnesota, licensed in Minnesota (R-135875-1) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1164413647
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameROGER L DEBOERCredential: RN, CRNA
Location Address1406 6TH AVE NSaint Cloud, MN 56303-1900
Mailing AddressPo Box 725Saint Cloud, MN 56302-0725 · (320) 258-3090 · Fax (320) 258-3095
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1164413647 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 MN · R-135875-1
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.

1406 6TH AVE N, Saint Cloud, MN 56303

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.

Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Pathology (Clinical Pathology/Laboratory Medicine)
1406 6TH AVE N
ST CLOUD, MN 56303
Pathology (Clinical Pathology/Laboratory Medicine)
1406 6TH AVE N
ST CLOUD, MN 56303
Pathology (Clinical Pathology/Laboratory Medicine)
1406 6TH AVE N
ST CLOUD, MN 56303
Pathology (Clinical Pathology/Laboratory Medicine)
1406 6TH AVE N
SAINT CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164413647, enumerated as an "individual" on November 02, 2005.

The provider is located at 1406 6TH AVE N SAINT CLOUD, MN 56303 and the phone number is (320) 251-2700.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.