MARY BETH BOESON CRNA
NPI 1265408272
Nurse Anesthetist, Certified Registered in Royal Oak, MI

Active since February 28, 2006Accepts Medicare Assignment
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Nov 16, 2020, May 21, 2019 and 1 more (4 updates tracked since 2017).

About Mary Beth Boeson Crna NPPES

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

MARY BETH BOESON CRNA (NPI 1265408272) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704201092) and active in the NPI registry since February 2006. She is affiliated with Trinity Health Oakland Hospital, maintains 6 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1265408272
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY BETH BOESONCredential: CRNA
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address2006 Hogback Rd Ste 5aAnn Arbor, MI 48105-9750 · (734) 263-2395 · Fax (734) 773-3471
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 5, 20244 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1265408272 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 MI · 4704201092
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.
3601 W 13 MILE RD, Royal Oak, MI 48073

Secondary Practice Locations 6

Location 143475 Dalcoma Dr Ste 100Clinton Twp, MI 48038-3593 · Phone (586) 263-5043
Location 211012 E 13 Mile Rd Ste 112AWarren, MI 48093-2546 · Phone (586) 751-9800
Location 322401 Foster Winter DrSouthfield, MI 48075-3724 · Phone (248) 423-5198
Location 436650 Five Mile Rd Ste 101Livonia, MI 48154-1956 · Phone (734) 434-6262
Location 533545 Cherry Hill Rd Fl 2Westland, MI 48186-4842 · Phone (313) 293-7777
Location 636475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 786-2317

Other Identifiers 2

Medicaid1265408272MI
Other430F364420MI · Bcbsm

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

Mary Beth Boeson 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 ID9638209620
PECOS Enrollment IDI20100618000199

Medicare Billing Reassignments

9

Medicare enrollment records show Mary Boeson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 278 clinicians in this Medicare group
Anesthesiology
1144 BROOKWOOD ST
Birmingham, MI 48009
  • Reassigned Medicare billing, Michigan enrollment
  • 29 clinicians in this Medicare group
Anesthesiology
30055 NORTHWESTERN HWY, SUITE L60
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 199 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
36475 5 MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • 97 clinicians in this Medicare group
Anesthesiology
43422 W OAKS DR # 332
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 192 clinicians in this Medicare group
Anesthesiology
33545 CHERRY HILL RD FL 2
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 273 clinicians in this Medicare group
Audiologist
4260 PLYMOUTH RD
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
Anesthesiology
718 N MACOMB ST
Monroe, MI 48162
  • Reassigned Medicare billing, Michigan enrollment
  • 109 clinicians in this Medicare group
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 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.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Surgeons Choice Medical Center

Acute Care Hospitals · Southfield, MI
OwnershipProprietary
CMS Certification Number230301
Location22401 Foster Winter DriveSouthfield, MI 48075 · Oakland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Mary Boeson's NPI number?

The NPI number for Mary Boeson is 1265408272. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Mary Boeson located?

Mary Boeson practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.

What is Mary Boeson's specialty?

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

Is Mary Boeson enrolled in Medicare?

Yes. Mary Boeson 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 Mary Boeson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boeson reassigns Medicare benefits to 9 organizations: William Beaumont Hospital (Royal Oak, MI), Paragon Anesthesia PLLC (Birmingham, MI), Northwestern Services, LLC (Farmington Hills, MI), St Mary Mercy Hospital Crna (Livonia, MI), Novi Aas LLC (Novi, MI) and 4 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 Mary Boeson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mary Boeson affiliated with any hospitals?

According to CMS data, Mary Boeson is affiliated with Trinity Health Oakland Hospital and Surgeons Choice Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Boeson was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.