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

Active since March 24, 2010Accepts 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: August 16, 2026.

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 affiliated with Newport Hospital, maintains a secondary practice location in Providence, and is a graduate of Other (2009).

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
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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, and ordering and referring status from the CMS PECOS system.

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

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.

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.