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

Alyssa Boatman

Individual provider Critical Care Medicine Registered Nurse · NPI 1841036449

Alyssa Boatman is a Certified Registered Nurse Anesthetist (CRNA) in Royal Oak, Michigan. Qualified in 2024, 2 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704297021 (MI)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 4704297021 (MI)

Record details

NPI number1841036449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address27188 Robin Dr, Chesterfield, MI 48051-3191

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Royal Oak