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

Kristopher Bosque

Individual provider Registered Nurse · NPI 1093257768

Kristopher Bosque is a Certified Registered Nurse Anesthetist (CRNA) in Reston, Virginia. Qualified in 2017, 9 years ago. Practices with Dominion Anesthesia PLLC, a 77-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11341 Sunset Hills Rd
Reston, VA 20190-5205
Phone: (703) 471-0919
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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 0024174556 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001258580 (VA)

Record details

NPI number1093257768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2016
Last updated in NPPESMarch 31, 2017
Mailing address21266 Victorias Cross Ter, Ashburn, VA 20147-4938

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dominion Anesthesia Pllc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Reston