JEFFREY E BOSANCO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124211792

JEFFREY E BOSANCO (CRNA) is a healthcare provider. based in Wichita, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1390042011 (KS). The NPI Number for JEFFREY E BOSANCO (CRNA) is 1124211792

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY E BOSANCO (CRNA)
NPI
1124211792
Phone
(800) 374-5326
Address
PO BOX 2897
Enumeration Date
27 August 2007
Last Update Date
8 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162627263
Graduation Year
2007 (19 years ago)
PAC ID
0749375087
Group Practice PAC ID
1153586821
Professional Enrollment ID
I20071002000690
Address ID
KS672143725WI818XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

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Provider Addresses for JEFFREY E BOSANCO (CRNA)

  • PO BOX 2897

    WICHITA, KS 672012897

    Phone: (800) 374-5326

    Fax: (800) 374-7656

    Type: Mailing

  • Via Christi Hospital Saint Francis, 929, North Saint Francis Street, Wichita, Sedgwick County, Kansas, 66214, United States

    WICHITA, KS 672143821

    Phone: (800) 374-5326

    Fax: (800) 374-7656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-12 • Largest payer in this snapshot: Acclarent, Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Acclarent, Inc$14
View all Open Payments →|Open Payments Risk Radar →

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: 2007-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20071002000690ICertified Registered Nurse Anesthetist (Crna)KSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope4141$0
00812Anesthesia for exam of colon using an endoscope3434$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
00532Anesthesia for access to central vein1717$0
View full utilization report →

Insurance plans in this area (ZIP 67201)

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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: 1153586821View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

What is the registry number for JEFFREY E BOSANCO (CRNA)?
The registry entry for JEFFREY E BOSANCO (CRNA) shows NPI 1124211792.
Should I treat JEFFREY E BOSANCO (CRNA) as an active provider?
Patients and plans typically see JEFFREY E BOSANCO (CRNA) as active in the national extract.
How should patients interpret JEFFREY E BOSANCO (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for JEFFREY E BOSANCO (CRNA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEFFREY E BOSANCO (CRNA)?
JEFFREY E BOSANCO (CRNA) is associated with Wichita, Kansas in the same public data insurers reference.
Who maintains JEFFREY E BOSANCO (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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