Kevin W. Boog, CRNA
NPI 1306160023ActiveIndividual· Nurse Anesthetist, Certified Registered· Providence, RI
Nurse Anesthetist, Certified Registered (CRNA) with Lifespan Physician Group Inc, practicing in Providence, Rhode Island. Medicare paid $13,662 for services to 169 patients in 2024. Lists Newport Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1306160023 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Mar 24, 2010 |
| Last updated in NPPES | Dec 22, 2022 |
| Certified by provider | Dec 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RNA36713 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 175 across 32 procedure codes |
| Paid by Medicare | $13,662 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliations
- Newport HospitalNewport, RI
- Rhode Island HospitalProvidence, RI
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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