ROGER L DEBOER (RN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1164413647

Certified Registered Nurse Anesthetist

ROGER L DEBOER (RN, CRNA) is a healthcare provider. based in Saint cloud, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials RN, CRNA. They hold a License No. R-135875-1 (MN). The NPI Number for ROGER L DEBOER (RN, CRNA) is 1164413647

Main info

Male

30 Years Of Experience

Accepts Medicare Assignment

Name

ROGER L DEBOER (RN, CRNA)

NPI

1164413647

Phone

(320) 251-2700

Address

1406 6TH AVE N

Enumeration Date

2 November 2005

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3202583090

Graduation Year

1996 (30 years ago)

PAC ID

5991820441

Group Practice PAC ID

2466363395

Professional Enrollment ID

I20100921000610

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROGER L DEBOER (RN, CRNA)

Saint Cloud Hospital, 1406, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States
SAINT CLOUD, MN 563031900
Phone: (320) 251-2700
Type: Location
PO BOX 725
SAINT CLOUD, MN 563020725
Phone: (320) 258-3090
Fax: (320) 258-3095
Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 56303)

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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: 2466363395View full group profile

Name	Specialty	State
ANGELA DOROTHY MOSCHO (APRN)	-	MN
KRISTEN J HEFFERN (ARNP)	-	IA
MS. PENNY L RUBESH (FNP)	Nurse Practitioner	MN
DR. JOHN KAZUO MATSUURA (MD)	-	MN
VICKIE L NASH (MD)	-	MN
KIMBERLY MARIE DODDS-THOMPSON (RDN, LD, CDCES)	Registered Dietitian Or Nutrition Professional	MN
NABEEL BISHARA AILABOUNI (DO)	Family Practice	MN
MARK ENGELSGJERD (M.D.)	-	MN
JOHN BOLINGER ESTER (MD)	-	WI
MARK J MARTONE (MD)	-	MN

Reviews

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Frequently asked questions

What number should I use to identify ROGER L DEBOER (RN, CRNA) for billing?

Administrative and clinical systems typically use NPI 1164413647 for ROGER L DEBOER (RN, CRNA).

Is ROGER L DEBOER (RN, CRNA)'s NPI status active today?

Active status means ROGER L DEBOER (RN, CRNA)'s NPI record is not deactivated in the public file.

What type of care does ROGER L DEBOER (RN, CRNA) provide?

ROGER L DEBOER (RN, CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What city is tied to ROGER L DEBOER (RN, CRNA)?

The directory associates ROGER L DEBOER (RN, CRNA) with Saint Cloud, Minnesota. Check all listed addresses for suites or satellite offices.

Who maintains ROGER L DEBOER (RN, CRNA)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.

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