Jacob D Boston, CRNA in Longview, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob D Boston, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Longview, Washington. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Complete Anesthesia Care Llc, Advanced Anesthesia Services Pllc, Anesthesia Associates Northwest Llc, Anesthesia Associates Northwest Llc and his current practice location is 1615 Delaware St, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 414-2000.

Jacob D Boston is licensed to practice in Washington (license number AP61201940) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558035527.

Contact Information

	Jacob D Boston, CRNA
	1615 Delaware St, Longview, WA 98632-2367
	(360) 414-2000
	(360) 414-7638

Map and Direction

Provider's Profile

Full Name	Jacob D Boston
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	1615 Delaware St, Longview, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob D Boston graduated from nursing school in 2021

NPI Data:

NPI Number: 1558035527
Provider Enumeration Date: 08/04/2021
Last Update Date: 03/19/2026

Medicare PECOS Information:

PECOS PAC ID: 2062800758
Enrollment ID: I20240209003377

Medical Identifiers

Medical identifiers for Jacob D Boston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558035527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	149114 (Kansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP61201940 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Centralia Hospital	Centralia, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Complete Anesthesia Care Llc	7214187210	19
Advanced Anesthesia Services Pllc	6608159017	37
Anesthesia Associates Northwest Llc	7618908484	94
Anesthesia Associates Northwest Llc	7618908484	94

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob D Boston allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459

Entity Name	Metropolitan Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720387954 PECOS PAC ID: 2860662996 Enrollment ID: O20110829000644

Entity Name	Complete Anesthesia Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932464492 PECOS PAC ID: 7214187210 Enrollment ID: O20121029000661

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob D Boston is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob D Boston, CRNA 324 N Emporia Ave Apt 611, Wichita, KS 67202-2554 Ph: (503) 516-8419	Jacob D Boston, CRNA 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Longview, WA

Peter J Leyzac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Brock J Amos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638
Lee Bendickson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638
Matthew Andrew Bolsoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638
Shane B Merrill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Longview, WA 98632 Phone: 360-442-7900
Jesse I Broome, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Megan Marie Schill, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7638

Jacob D Boston, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Longview, WA