Phanthavong Boon, RN, CRNA
NPI 1184607285ActiveIndividual· Nurse Anesthetist, Certified Registered· Fort Riley, KS
Nurse Anesthetist, Certified Registered (RN, CRNA) with Santiam Memorial Hospital and 2 other groups, practicing in Fort Riley, Kansas. Medicare paid $24,242 for services to 163 patients in 2024. Lists Providence Newberg Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1184607285 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, CRNA |
| Sole proprietor | Yes |
| NPI issued | Nov 22, 2005 |
| Last updated in NPPES | Feb 16, 2022 |
| Certified by provider | Feb 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 24179395 | VA |
| Registered Nurse | 163W00000X | 202201644RN | OR |
| Registered Nurse | 163W00000X | 14-153121-072 | KS |
| Registered Nurse | 163W00000X | 0001186892 | VA |
| Nurse Anesthetist, Certified Registered | 367500000X | 43-557812-072 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (KS); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (OR); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 163 |
|---|---|
| Services billed | 180 across 37 procedure codes |
| Paid by Medicare | $24,242 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Santiam Memorial HospitalStayton, OR · 129 clinicians
- Anesthesia Associates Northwest LLCSalem, OR · 81 clinicians
- Premier Anesthesia of Oregon PCOregon City, OR · 33 clinicians
Hospital affiliations
- Providence Newberg Medical CenterNewberg, OR
- Providence Willamette Falls Medical CenterOregon City, OR
- Santiam Hospital & ClinicsStayton, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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