THOMAS BOOSTROM CRNA
NPI 1164773685
Nurse Anesthetist, Certified Registered in Wausau, WI
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 enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
15Medicare enrollment records show Thomas Boostrom reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wausau, WI 54403
- Reassigned Medicare billing, Wisconsin enrollment
- 13 clinicians in this Medicare group
Wausau, WI 54403
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Merrill, WI 54452
- Reassigned Medicare billing, Wisconsin enrollment
- 351 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 10 clinicians in this Medicare group
Owen, WI 54460
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1053391730 (Wisconsin)
- 48 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 32 clinicians in this Medicare group
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 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.
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, WIAspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WIPhysician 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.
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.
WAUSAU, WI 54403
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.
Which organizations bill Medicare for Thomas Boostrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Boostrom reassigns Medicare benefits to 15 organizations: Midwest Alliance Services LLC (Wausau, WI), Aspirus Wausau Hospital Inc (Wausau, WI), Mchs Hospitals Inc (Wausau, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI) and 10 more organizations, listed in the Medicare section above. 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 Thomas Boostrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 Wellmark Health Plan of Iowa, Inc. 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.
# Thomas Boostrom, CRNA · NPI 1164773685
Nurse Anesthetist, Certified Registered physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since September 24, 2012.
## Identity
- **NPI:** 1164773685 (Entity type: Individual)
- **Enumerated:** September 24, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** D152469 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 N 1ST ST, Wausau, WI 54403-4754
- **Phone:** (715) 362-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Midwest Alliance Services LLC (NPI 1336612795, Wausau, WI); Aspirus Wausau Hospital Inc (NPI 1588994933, Wausau, WI); Mchs Hospitals Inc (NPI 1164159109, Wausau, WI); Aspirus Merrill Hospital & Clinics, Inc. (NPI 1124084678, Merrill, WI); Aspirus Medford Hospital & Clinics, Inc. (NPI 1760912919, Athens, WI); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164773685) · Data from the CMS NPPES public registry.