IndividualActive
Amy Boekeloo, CRNA
NPI 1255893137 · Certified Registered Nurse Anesthetist · Grand Rapids, MI
Provider details
- NPI number
- 1255893137
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 4704286489 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Jefferson Ave Se
Grand Rapids, MI 49503-4502
Phone: (616) 685-5000
Street-level locationGet directions
Mailing address
1322 Madrid Dr Sw
Byron Center, MI 49315-7989
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2019-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.