DAVID CARL BOSE, CRNA — NPI 1114973906 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered in LAKIN, KS)

CMS-1500 Box 24J / 33a • NPI

1114973906

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367500000X (CMS 43)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered

Box 32 Service Location & ZIP+4

500 E THORPE ST, LAKIN, KS, 67860-9625

✓ 9-Digit EDI 837 ZIP+4 (67860-9625)

Practice Phone & Referral Fax

(620) 355-7111

Fax: (620) 355-1527

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114973906 (DAVID CARL BOSE, CRNA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1114973906)

Medicare Beneficiaries

Total Billed Services

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$16,727.44

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114973906` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID CARL BOSE, CRNA
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: `367500000X` (Nurse Anesthetist, Certified Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 E THORPE ST, LAKIN, KS, 67860-9625
Practice Telephone / Fax	Tel: (620) 355-7111 \| Fax: (620) 355-1527
Administrative Mailing Address	PO BOX 821, HAYS, KS, 67601-0821
Enumeration & Last Sync	Enumerated: 2006-05-25 \| CMS Record Updated: 2016-03-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 E THORPE ST, LAKIN, KS, 67860-9625

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Plain-English Taxonomy & CMS Crosswalk (367500000X)

What Does Taxonomy Code 367500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 43 (Certified Registered Nurse Anesthetist (CRNA))
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Anesthetist, Certified Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID CARL BOSE, CRNA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367500000X` — Nurse Anesthetist, Certified Registered Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered	State: KS \| License: `55452` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVID CARL BOSE, CRNA (NPI #1114973906)