BOONEVILLE ANESTHESIA SERVICES LLC
NPI 1528956984
Nurse Anesthetist, Certified Registered in Booneville, MS

Q: What is Booneville Anesthesia Services LLC's NPI number?

The NPI number for Booneville Anesthesia Services LLC is 1528956984. It was assigned to this organization in the NPPES registry on June 25, 2025.

Q: What is Booneville Anesthesia Services LLC's specialty?

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

Active since June 25, 2025

100 HOSPITAL ST, BOONEVILLE, MS 38829(660) 827-0492 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2026, Jun 25, 2025 (2 updates tracked since 2025).

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About Booneville Anesthesia Services Llc NPPES

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

BOONEVILLE ANESTHESIA SERVICES LLC (NPI 1528956984) is a healthcare organization registered as a nurse anesthetist, certified registered in Booneville, Mississippi and active in the NPI registry since June 2025. The organization lists Michael Crouch, Manager, as its authorized official.

NPPES Registry Identity

NPI1528956984

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameBOONEVILLE ANESTHESIA SERVICES LLC

Location Address100 HOSPITAL STBooneville, MS 38829-3354

Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960

Phone(660) 827-0492

Organization SubpartNo

Authorized OfficialMichael CrouchManager · (660) 826-5960

Enumeration DateJune 25, 2025

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1528956984 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.

100 HOSPITAL ST, Booneville, MS 38829

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Booneville Anesthesia Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.