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

Thomas Boostrom, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164773685

Thomas Boostrom, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Wausau, Wisconsin. Qualified in 2012, 14 years ago. Practices with Midwest Alliance Services LLC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Wisconsin.

Years since qualifying
14
Licensed in
IA, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

800 N 1st St
Wausau, WI 54403-4754
Phone: (715) 362-2600
Show map & directions

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

Additional practice locations (2)

  • 112 Jefferson St, West Union, IA 52175-1022 — (563) 422-3817
  • 2251 N Shore Dr, Rhinelander, WI 54501-6710 — (715) 361-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence D152469 (IA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1234 (WI)

Record details

NPI number1164773685
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 24, 2012
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address112 Jefferson St, West Union, IA 52175-1022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Midwest Alliance Services Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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