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THOMAS BOOSTROM CRNA
NPI 1164773685
Nurse Anesthetist, Certified Registered in Wausau, WI

Active since September 24, 2012Accepts Medicare Assignment
800 N 1ST ST, WAUSAU, WI 54403(715) 362-2600 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2020, Feb 7, 2019 (2 updates tracked since 2019).

About Thomas Boostrom Crna NPPES

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

THOMAS BOOSTROM CRNA (NPI 1164773685) is an individual nurse anesthetist, certified registered in Wausau, Wisconsin, licensed in Iowa (D152469) and active in the NPI registry since September 2012. He is affiliated with Aspirus Rhinelander Hospital, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164773685
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS BOOSTROMCredential: CRNA
Location Address800 N 1ST STWausau, WI 54403-4754
Mailing Address112 Jefferson StWest Union, IA 52175-1022 · (563) 422-3817
Phone(715) 362-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 24, 2012
Last NPPES UpdateMarch 31, 20202 updates tracked since enumeration
NPPES CertifiedMarch 31, 2020
✔ NPI 1164773685 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
Licenses✔ Licensed in IA · D152469✔ Licensed in WI · 1234
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.
800 N 1ST ST, Wausau, WI 54403
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Secondary Practice Locations 2

Location 12251 N Shore DrRhinelander, WI 54501-6710 · Phone (715) 361-2000
Location 2112 Jefferson StWest Union, IA 52175-1022 · Phone (563) 422-3817

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Boostrom Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810147931
PECOS Enrollment IDI20121026000450

Areas of Expertise CMS Part B claims 4

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.
45 services42 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
18 services18 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
17 services17 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. CHRISTOPHER J KUCHARSKI M.D.
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DR. THADDEUS J KROLICKI M.D.
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DEEPAK SAMBHARA M.D.
Ophthalmology
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DR. DANIEL T. STOEHR O.D.
Optometrist
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
EC LASER AND SURGERY INSTITUTE OF WI, LLC
Clinic/Center (Ambulatory Surgical)
800 N 1ST ST, SUITE 100
WAUSAU, WI 54403
Marathon County (715) 261-8500
CHRISTIANA LOREDANA GANDY M.D.
Ophthalmology (Glaucoma Specialist)
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DR. LORI J FISH
Audiologist
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500
DR. THOMAS PAUL COLVIN OD
Optometrist
800 N 1ST ST
WAUSAU, WI 54403
Marathon County (715) 261-8500

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 Thomas Boostrom's NPI number?

The NPI number for Thomas Boostrom is 1164773685. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Where is Thomas Boostrom located?

Thomas Boostrom practices at 800 N 1st St, Wausau, WI 54403. The listed phone number is (715) 362-2600.

What is Thomas Boostrom's specialty?

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

Is Thomas Boostrom enrolled in Medicare?

Yes. Thomas Boostrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Boostrom accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Medica list Thomas Boostrom 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.

Is Thomas Boostrom affiliated with any hospitals?

According to CMS data, Thomas Boostrom is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital and Howard Young Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Boostrom was last updated on March 31, 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.