Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Rose Boll

Individual provider Certified Registered Nurse Anesthetist · NPI 1053282772

Alexis Rose Boll is a Certified Registered Nurse Anesthetist (CRNA) in St Louis Park, Minnesota. Qualified in 2025, 1 year ago. Practices with Park Nicollet Methodist Hospital, a 112-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3236 (MN)

Record details

NPI number1053282772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address112242 Hutchins Ct, Chaska, MN 55318-1546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Park Nicollet Methodist Hospital — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park