KEVIN W BOOG CRNA
NPI 1306160023
Nurse Anesthetist, Certified Registered in Providence, RI

Q: What is Kevin Boog's NPI number?

The NPI number for Kevin Boog is 1306160023. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Q: What is Kevin Boog'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 Kevin Boog was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2010PECOS EnrolledAccepts Medicare Assignment

593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903(401) 444-4933(401) 444-5090 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kevin W Boog Crna NPPES

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

KEVIN W BOOG CRNA (NPI 1306160023) is an individual nurse anesthetist, certified registered in Providence, Rhode Island, licensed in Rhode Island (RNA36713) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1306160023

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKEVIN W BOOGCredential: CRNA

Location Address593 EDDY STREET, DAVOL 129Providence, RI 02903-4923

Mailing AddressOne Virginia Avenue, Suite 201Providence, RI 02905 · (401) 490-0916 · Fax (401) 490-0979

Phone(401) 444-4933

Fax(401) 444-5090

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 24, 2010

Last NPPES UpdateDecember 22, 2022

NPPES CertifiedDecember 22, 2022

✔ NPI 1306160023 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 RI · RNA36713

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.

593 EDDY STREET, Providence, RI 02903

Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658

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

Kevin W Boog 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 ID1254462492

PECOS Enrollment IDI20100701000466

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Boog reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.

Same address

Anesthesiology

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
112 clinicians in this Medicare group

NPI 1053782466 (401) 444-5172

Affinity Physicians LLC

0.2 mi

Anesthesiology

101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
984 clinicians in this Medicare group

NPI 1053038471 (401) 274-1122

University Gastroenterology, LLC

0.3 mi

Gastroenterology

33 STANIFORD ST
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
141 clinicians in this Medicare group

NPI 1386952612 (401) 421-8800

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 6

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

22 services20 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

20 services20 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

16 services16 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

14 services14 patients

Anesthesia for other procedure on neck area (1 year or older) 00320

Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.

13 services13 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

BRIAN F GIRARD CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

PETER W WOLFERSEDER CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

MARIE A MILLS CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

BETH VANPRAAG CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

JONATHAN D URI MD

Anesthesiology

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

CHRISTINE MARIE RAMALHO DMD

Dentist (General Practice)

593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903

Providence County (401) 444-7195

ANGELA THOMAS CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

NICOLE BRETING APRN

Nurse Practitioner

593 EDDY STREET, APC 4
PROVIDENCE, RI 02903

Providence County (401) 553-8355

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 Kevin Boog's NPI number?

The NPI number for Kevin Boog is 1306160023. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Kevin Boog located?

Kevin Boog practices at 593 Eddy Street Davol 129, Providence, RI 02903. The listed phone number is (401) 444-4933.

What is Kevin Boog's specialty?

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

Is Kevin Boog enrolled in Medicare?

Yes. Kevin Boog 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 Kevin Boog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Boog reassigns Medicare benefits to 3 organizations: Lifespan Physician Group, Inc. (Providence, RI), Affinity Physicians LLC (Providence, RI) and University Gastroenterology, LLC (Providence, RI). 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 Kevin Boog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Boog affiliated with any hospitals?

According to CMS data, Kevin Boog is affiliated with Newport Hospital and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Boog was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.