AMY BOEKELOO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255893137

AMY BOEKELOO (CRNA) is a healthcare provider. based in Byron center, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704286489 (MI). The NPI Number for AMY BOEKELOO (CRNA) is 1255893137

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMY BOEKELOO (CRNA)
NPI
1255893137
Phone
(269) 552-8351
Address
1322 MADRID DR SW
Enumeration Date
1 April 2019
Last Update Date
5 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342632400
Graduation Year
2019 (7 years ago)
PAC ID
8527399955
Group Practice PAC ID
4981500436
Professional Enrollment ID
I20191015003318
Address ID
MI495034502GR200XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for AMY BOEKELOO (CRNA)

  • 1322, Madrid Drive Southwest, Byron Township, Kent County, Michigan, 49315, United States

    BYRON CENTER, MI 493157989

    Phone: (269) 552-8351

    Type: Mailing

  • Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034502

    Phone: (616) 685-5000

    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: 2019-10-15

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
I20191015003318ICertified Registered Nurse Anesthetist (Crna)MITBD

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
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1111$0
View full utilization report →

Insurance plans in this area (ZIP 49315)

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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: 4981500436View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)PA
-MI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What number should I use to identify AMY BOEKELOO (CRNA) for billing?
Administrative and clinical systems typically use NPI 1255893137 for AMY BOEKELOO (CRNA).
Quick check: is AMY BOEKELOO (CRNA) active?
Public NPPES data shows AMY BOEKELOO (CRNA) with an active NPI status right now.
What type of care does AMY BOEKELOO (CRNA) provide?
AMY BOEKELOO (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is AMY BOEKELOO (CRNA) tied to Byron Center, Michigan?
If you are local to Byron Center, Michigan, AMY BOEKELOO (CRNA) may be relevant to your search.
Why is information missing for AMY BOEKELOO (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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