ANGELA CHRISTINE BOLL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114542834

ANGELA CHRISTINE BOLL (CRNA) is a healthcare provider. based in Poplar bluff, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 127615 (IA). The NPI Number for ANGELA CHRISTINE BOLL (CRNA) is 1114542834

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA CHRISTINE BOLL (CRNA)
NPI
1114542834
Phone
(573) 686-5550
Address
2511 N WESTWOOD BLVD STE B
Enumeration Date
9 June 2020
Last Update Date
9 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127324030
Graduation Year
2020 (6 years ago)
PAC ID
8224454004
Group Practice PAC ID
3476464421
Professional Enrollment ID
I20200812000195
Address ID
IA505883027ST1525XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

Provider Addresses for ANGELA CHRISTINE BOLL (CRNA)

  • 2511 N WESTWOOD BLVD STE B

    POPLAR BLUFF, MO 639012303

    Phone: (573) 686-5550

    Type: Mailing

  • 1525 W 5TH ST

    STORM LAKE, IA 505883027

    Phone: (573) 686-5550

    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: 2022-03-18

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
I20200812000195ICertified Registered Nurse Anesthetist (Crna)IATBD
I20220318000417ICertified Registered Nurse Anesthetist (Crna)NETBD

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
00142Anesthesia for lens surgery7259$0
00812Anesthesia for exam of colon using an endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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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: 3476464421View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Orthopedic SurgeryIA
Physician AssistantAZ
Family PracticeNE
-IA
-IA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
General SurgeryIA

Reviews

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Frequently asked questions

Does ANGELA CHRISTINE BOLL (CRNA) have a public NPI I can cite?
Public records show ANGELA CHRISTINE BOLL (CRNA) under NPI 1114542834.
Is ANGELA CHRISTINE BOLL (CRNA)'s NPI status active today?
Active status means ANGELA CHRISTINE BOLL (CRNA)'s NPI record is not deactivated in the public file.
What services align with ANGELA CHRISTINE BOLL (CRNA)'s listing?
ANGELA CHRISTINE BOLL (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGELA CHRISTINE BOLL (CRNA)?
ANGELA CHRISTINE BOLL (CRNA) is associated with Poplar Bluff, Missouri in the same public data insurers reference.
Who maintains ANGELA CHRISTINE BOLL (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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