MARY BETH BOESON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265408272

MARY BETH BOESON (CRNA) is a healthcare provider. based in Livonia, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704201092 (MI). The NPI Number for MARY BETH BOESON (CRNA) is 1265408272

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH BOESON (CRNA)
NPI
1265408272
Phone
(734) 434-6262
Address
36650 Five Mile Rd Ste 101
Enumeration Date
28 February 2006
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346552909
Graduation Year
1999 (27 years ago)
PAC ID
9638209620
Group Practice PAC ID
8820163538
Professional Enrollment ID
I20100618000199
Address ID
MI481541971LI36475RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

Provider Addresses for MARY BETH BOESON (CRNA)

  • 36650 Five Mile Rd Ste 101

    Livonia, MI 481541956

    Phone: (734) 434-6262

    Type: Location

  • 22401 Foster Winter Dr

    Southfield, MI 480753724

    Phone: (248) 423-5198

    Type: Location

  • 11012 E 13 Mile Rd Ste 112A

    Warren, MI 480932546

    Phone: (586) 751-9800

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • 2006 HOGBACK RD STE 5A

    ANN ARBOR, MI 481059750

    Phone: (734) 263-2395

    Fax: (734) 773-3471

    Type: Mailing

  • 33545 Cherry Hill Rd Fl 2

    Westland, MI 481864842

    Phone: (313) 293-7777

    Type: Location

  • 43475 Dalcoma Dr Ste 100

    Clinton Twp, MI 480383593

    Phone: (586) 263-5043

    Type: Location

  • 36475 Five Mile Rd

    Livonia, MI 481541971

    Phone: (734) 786-2317

    Type: Location

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 898-5000

    Type: Location

  • 203, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States

    BEAUMONT PHYSICIAN PARTNERS PAYOR ENROLLMENT

    TROY, MI 480841744

    Phone:

    Type: Mailing

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$16
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: 2010-06-18

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
I20100618000199ICertified 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
00145Anesthesia for retinal surgery1616$0
01922Anesthesia for x-ray or radiation therapy1212$0
View full utilization report →

Insurance plans in this area (ZIP 48154)

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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: 8820163538View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What is the standard ID for MARY BETH BOESON (CRNA) in the U.S.?
In the U.S., MARY BETH BOESON (CRNA) is identified by NPI 1265408272.
Is MARY BETH BOESON (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MARY BETH BOESON (CRNA) as active.
What type of care does MARY BETH BOESON (CRNA) provide?
MARY BETH BOESON (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY BETH BOESON (CRNA)?
MARY BETH BOESON (CRNA) shows a connection to Livonia, Michigan in registry-derived data.
Why is information missing for MARY BETH BOESON (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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