MIDWEST ALLIANCE SERVICES LLC
NPI 1336612795
Nurse Anesthetist, Certified Registered in Wausau, WI

Q: What is Midwest Alliance Services LLC's NPI number?

The NPI number for Midwest Alliance Services LLC is 1336612795. It was assigned to this organization in the NPPES registry on January 9, 2019.

Q: What is Midwest Alliance Services LLC's specialty?

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

Active since January 09, 2019

800 N. 1ST ST., WAUSAU, WI 54403(715) 261-8500 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 11, 2019, Jan 29, 2019, Jan 9, 2019 (3 updates tracked since 2019).

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About Midwest Alliance Services Llc NPPES

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

MIDWEST ALLIANCE SERVICES LLC (NPI 1336612795) is a healthcare organization registered as a nurse anesthetist, certified registered in Wausau, Wisconsin and active in the NPI registry since January 2019. The organization lists Thomas David Boostrom, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1336612795

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameMIDWEST ALLIANCE SERVICES LLC

Location Address800 N. 1ST ST.Wausau, WI 54403

Mailing Address5261 Sandy LoopRhinelander, WI 54501 · (507) 206-1680

Phone(715) 261-8500

Organization SubpartNo

Authorized OfficialThomas David BoostromCo-owner · (507) 206-1680

Enumeration DateJanuary 9, 2019

Last NPPES UpdateApril 11, 20193 updates tracked since enumeration

✔ NPI 1336612795 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

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.

800 N. 1ST ST., Wausau, WI 54403

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midwest Alliance Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Midwest Alliance Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.