MARTIN VAUGHN CRNA
NPI 1003025826
Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

Active since May 21, 2007Accepts Medicare Assignment
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 785-7721 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martin Vaughn Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN VAUGHN CRNA (NPI 1003025826) is an individual nurse anesthetist, certified registered in Poplar Bluff, Missouri, licensed in Arkansas (C001525) and active in the NPI registry since May 2007. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1003025826
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARTIN VAUGHNCredential: CRNA
Location Address2620 N WESTWOOD BLVDPoplar Bluff, MO 63901-3396
Mailing Address280 Cr 782Jonesboro, AR 72401 · (870) 972-9454
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 21, 2007
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
NPI 1003025826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in AR · C001525
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2005030753 (MO)
2620 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Martin Vaughn Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395795942
PECOS Enrollment IDI20050316000946

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Hospitalist
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Radiology (Therapeutic Radiology)
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Anesthetist, Certified Registered
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Emergency Medicine
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Anesthetist, Certified Registered
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Emergency Medicine
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Vaughn's NPI number?

The NPI number for Martin Vaughn is 1003025826. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Martin Vaughn located?

Martin Vaughn practices at 2620 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 785-7721.

What is Martin Vaughn's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Martin Vaughn enrolled in Medicare?

Yes. Martin Vaughn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Martin Vaughn was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.