AMY BOEKELOO CRNA
NPI 1255893137
Nurse Anesthetist, Certified Registered in Grand Rapids, MI
About Amy Boekeloo Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY BOEKELOO CRNA (NPI 1255893137) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704286489) and active in the NPI registry since April 2019. She is affiliated with Mercy Health Saint Mary's and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Amy Boekeloo 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
2Medicare enrollment records show Amy Boekeloo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 199 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MITrinity Health Muskegon Hospital
Acute Care Hospitals · Muskegon, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Amy Boekeloo's NPI number?
The NPI number for Amy Boekeloo is 1255893137. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Amy Boekeloo located?
Amy Boekeloo practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5000.
What is Amy Boekeloo's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Amy Boekeloo enrolled in Medicare?
Yes. Amy Boekeloo 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 Amy Boekeloo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Boekeloo reassigns Medicare benefits to 2 organizations: Saint Mary's Health Services (Grand Rapids, MI) and Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Amy Boekeloo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amy Boekeloo affiliated with any hospitals?
According to CMS data, Amy Boekeloo is affiliated with Mercy Health Saint Mary's and Trinity Health Muskegon Hospital.
When was this NPI record last updated?
The NPPES record for Amy Boekeloo was last updated on May 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amy Boekeloo, CRNA · NPI 1255893137
Nurse Anesthetist, Certified Registered physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1255893137 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704286489 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (616) 685-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Mary's Health Services (NPI 1124063078, Grand Rapids, MI); Spectrum Health Primary Care Partners (NPI 1689499667, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255893137) · Data from the CMS NPPES public registry.