1. Home
  2. Directory
  3. Virginia
  4. Mc Lean
  5. Anesthesiology
  6. NPI Profile

KRISTINA JEAN POLLER D.O
NPI 1114005501
Anesthesiology in Mc Lean, VA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
8008 WESTPARK DR, KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER, MC LEAN, VA 22102(703) 287-6400 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristina Jean Poller D.o NPPES

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

KRISTINA JEAN POLLER D.O (NPI 1114005501) is an individual anesthesiology provider in Mc Lean, Virginia, licensed in Virginia (0102202776) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2005).

NPPES Registry Identity

NPI1114005501
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKRISTINA JEAN POLLERCredential: D.O
Location Address8008 WESTPARK DR, KAISER PERMANENTE TYSONS CORNER MEDICAL CENTERMc Lean, VA 22102-3109
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Phone(703) 287-6400
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2005
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 22, 2021
NPPES CertifiedNovember 22, 2021
✔ NPI 1114005501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in VA · 0102202776✔ Licensed in MD · H0069445
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
8008 WESTPARK DR, Mc Lean, VA 22102
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristina Jean Riddle D.o

Other Identifiers 1

Medicaid418033000MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Jean Poller D.o 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 ID3678628765
PECOS Enrollment IDI20090825000461, I20130419000499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristina Poller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Same address
Health Maintenance Organization
8008 WESTPARK DR
Mc Lean, VA 22102
NPI 1376815472 (703) 490-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LUBNA RANA MD
Hospitalist
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
DR. TROY W BAKER D.O.
Allergy & Immunology
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6559
JENNIFER GILLMAN
Nuclear Medicine
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
DR. JULIE ANN AMBROSE M.D.
Obstetrics & Gynecology
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-4550
DR. LINDA M CARDINAL MD
Surgery
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
REGINA DE LA TORRE LEE
Registered Nurse
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
DR. JOHN SANIL SAMUEL M.D.
Internal Medicine
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-1504
MRS. CYNTHIA ANN LEAVER PHD, RN, FNP-BC
Nurse Practitioner (Family)
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6442

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 Kristina Poller's NPI number?

The NPI number for Kristina Poller is 1114005501. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Kristina Jean Riddle D.O.

Where is Kristina Poller located?

Kristina Poller practices at 8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102. The listed phone number is (703) 287-6400.

What is Kristina Poller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kristina Poller enrolled in Medicare?

Yes. Kristina Poller 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.

Which organization bills Medicare for Kristina Poller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Poller reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Mc Lean, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Poller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Poller was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.