JERRY L BOLDON CRNA
NPI 1437125390
Nurse Anesthetist, Certified Registered in Little Falls, MN

Q: What is Jerry Boldon's NPI number?

The NPI number for Jerry Boldon is 1437125390. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Jerry Boldon'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 Jerry Boldon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 28, 2006

808 3RD ST SE, SUITE 130, LITTLE FALLS, MN 56345(320) 632-5743(320) 632-9680 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jerry L Boldon Crna NPPES

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

JERRY L BOLDON CRNA (NPI 1437125390) is an individual nurse anesthetist, certified registered in Little Falls, Minnesota, licensed in Minnesota (R0910051) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1437125390

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJERRY L BOLDONCredential: CRNA

Location Address808 3RD ST SE, SUITE 130Little Falls, MN 56345-3557

Mailing Address808 3rd St Se, Suite 130Little Falls, MN 56345-3557 · (320) 632-5743 · Fax (320) 632-9680

Phone(320) 632-5743

Fax(320) 632-9680

Sole ProprietorNo

Enumeration DateFebruary 28, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1437125390 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 MN · R0910051

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.

808 3RD ST SE, Little Falls, MN 56345

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY J ANDERSON CRNA