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

Jacob D Boston, CRNA

Individual provider Registered Nurse · NPI 1558035527

Jacob D Boston, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Longview, Washington. Qualified in 2021, 5 years ago. Practices with Complete Anesthesia Care LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Washington.

Years since qualifying
5
Licensed in
KS, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-2000
Fax: (360) 414-7638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 888 Swift Blvd, Richland, WA 99352-3583 — (770) 643-5619

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61201940 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 149114 (KS)

Record details

NPI number1558035527
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address324 N Emporia Ave Apt 611, Wichita, KS 67202-2554

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Complete Anesthesia Care Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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