MS. AMY KATHERINE BOLES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790129872

MS. AMY KATHERINE BOLES (CRNA) is a healthcare provider. based in Gainesville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9359225 (FL). The NPI Number for MS. AMY KATHERINE BOLES (CRNA) is 1790129872

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMY KATHERINE BOLES (CRNA)
NPI
1790129872
Phone
(352) 265-7999
Address
1600 SW Archer Rd
Enumeration Date
19 April 2013
Last Update Date
13 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7575071000
Graduation Year
2013 (13 years ago)
PAC ID
6002057213
Group Practice PAC ID
6305081118
Professional Enrollment ID
I20140602000664
Address ID
VA234560178VI2025XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MS. AMY KATHERINE BOLES (CRNA)

  • 1600 SW Archer Rd

    Gainesville, FL 326103003

    Phone: (352) 265-7999

    Type: Location

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 265-7999

    Type: Location

  • PO BOX 918025

    ORLANDO, FL 328918025

    Phone:

    Type: Mailing

  • 8219 LEESBURG PIKE STE 100

    VIENNA, VA 221822625

    Phone: (301) 873-7508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140416001075ICertified Registered Nurse Anesthetist (Crna)DCTBD
I20140602000664ICertified Registered Nurse Anesthetist (Crna)VATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305081118View full group profile
NameSpecialtyState
-VA
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)VA

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Frequently asked questions

What is the 10-digit NPI for MS. AMY KATHERINE BOLES (CRNA)?
MS. AMY KATHERINE BOLES (CRNA) — NPI 1790129872 — is the standard way to identify this listing.
Can I rely on MS. AMY KATHERINE BOLES (CRNA) being an active provider?
As of the registry snapshot, MS. AMY KATHERINE BOLES (CRNA) is marked active.
What is MS. AMY KATHERINE BOLES (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MS. AMY KATHERINE BOLES (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. AMY KATHERINE BOLES (CRNA)?
MS. AMY KATHERINE BOLES (CRNA)'s geographic hint is Gainesville, Florida in our summary view.
Why does MS. AMY KATHERINE BOLES (CRNA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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