GERALD A DEBOER CRNA
NPI 1275078701
Nurse Anesthetist, Certified Registered in Green Bay, WI

Q: What is Gerald Deboer's NPI number?

The NPI number for Gerald Deboer is 1275078701. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Q: What is Gerald Deboer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gerald Deboer was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 19, 2016

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-3388 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2018, Dec 19, 2016 (2 updates tracked since 2016).

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About Gerald A Deboer Crna NPPES

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

GERALD A DEBOER CRNA (NPI 1275078701) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (68048 - 030) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1275078701

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGERALD A DEBOERCredential: CRNA

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing Address164 N BroadwayGreen Bay, WI 54303-2728 · (920) 490-9046

Phone(920) 288-3388

Sole ProprietorYes

Enumeration DateDecember 19, 2016

Last NPPES UpdateJanuary 11, 20182 updates tracked since enumeration

✔ NPI 1275078701 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 WI · 68048 - 030✔ Licensed in MN · R 242080-8

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.

2845 GREENBRIER RD, Green Bay, WI 54311

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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.

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