MR. PHANTHAVONG BOON RN, CRNA
NPI 1184607285
Nurse Anesthetist, Certified Registered in Fort Riley, KS
About Mr. Phanthavong Boon Rn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PHANTHAVONG BOON RN, CRNA (NPI 1184607285) is an individual nurse anesthetist, certified registered in Fort Riley, Kansas, licensed in Virginia (24179395) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 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
Mr. Phanthavong Boon Rn, 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
5Medicare enrollment records show Phanthavong Boon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Topeka, KS 66606
- Reassigned Medicare billing, Kansas enrollment
- 106 clinicians in this Medicare group
Chattanooga, TN 37404
- Reassigned Medicare billing, Kansas enrollment
- 28 clinicians in this Medicare group
Mill City, OR 97360
- Reassigned Medicare billing, Oregon enrollment
- 152 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 183 clinicians in this Medicare group
Newberg, OR 97132
- Reassigned Medicare billing, Oregon enrollment
- 51 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Newberg Medical Center
Acute Care Hospitals · Newberg, ORProvidence Willamette Falls Medical Center
Acute Care Hospitals · Oregon City, ORSantiam Hospital
Acute Care Hospitals · Stayton, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66442 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Phanthavong Boon's NPI number?
The NPI number for Phanthavong Boon is 1184607285. It was assigned to this individual provider in the NPPES registry on November 22, 2005.
Where is Phanthavong Boon located?
Phanthavong Boon practices at 650 Huebner Rd, Fort Riley, KS 66442. The listed phone number is (785) 239-7000.
What is Phanthavong Boon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Phanthavong Boon enrolled in Medicare?
Yes. Phanthavong Boon 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 Phanthavong Boon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phanthavong Boon reassigns Medicare benefits to 5 organizations: Anesthesia Associates Of Topeka PA (Topeka, KS), Sweet Dreams Anesthesia Inc (Chattanooga, TN), Santiam Memorial Hospital (Mill City, OR), Anesthesia Associates Northwest LLC (Milwaukie, OR) and Premier Anesthesia Of Oregon PC (Newberg, OR). 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 Phanthavong Boon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phanthavong Boon accept?
Health plans from Moda Health Plan, Inc. list Phanthavong Boon 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 Phanthavong Boon affiliated with any hospitals?
According to CMS data, Phanthavong Boon is affiliated with Providence Newberg Medical Center, Providence Willamette Falls Medical Center and Santiam Hospital.
When was this NPI record last updated?
The NPPES record for Phanthavong Boon was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Phanthavong Boon, RN, CRNA · NPI 1184607285
Nurse Anesthetist, Certified Registered physician in Fort Riley, Kansas. Individual provider, active in the CMS NPPES registry since November 22, 2005.
## Identity
- **NPI:** 1184607285 (Entity type: Individual)
- **Enumerated:** November 22, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 24179395 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 650 HUEBNER RD, Fort Riley, KS 66442-4030
- **Phone:** (785) 239-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Topeka PA (NPI 1518933837, Topeka, KS); Sweet Dreams Anesthesia Inc (NPI 1508133497, Chattanooga, TN); Santiam Memorial Hospital (NPI 1205048097, Mill City, OR); Anesthesia Associates Northwest LLC (NPI 1548281751, Milwaukie, OR); Premier Anesthesia Of Oregon PC (NPI 1154010429, Newberg, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184607285) · Data from the CMS NPPES public registry.