JERI POOR CRNA
NPI 1124439971
Nurse Anesthetist, Certified Registered in Syracuse, NY
About Jeri Poor Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERI POOR CRNA (NPI 1124439971) is an individual nurse anesthetist, certified registered in Syracuse, New York, licensed in New York (616605-1) and active in the NPI registry since May 2014. She is a graduate of Albany Medical College Of Union University (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jeri Poor 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jeri Poor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 132 clinicians in this Medicare group
Syracuse, NY 13215
- Reassigned Medicare billing, New York enrollment
- 116 clinicians in this Medicare group
East Syracuse, NY 13057
- Reassigned Medicare billing, New York enrollment
- 84 clinicians in this Medicare group
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 122 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SYRACUSE, NY 13203
SYRACUSE, NY 13203
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 Jeri Poor's NPI number?
The NPI number for Jeri Poor is 1124439971. It was assigned to this individual provider in the NPPES registry on May 14, 2014. The provider is also known as Jeri Polchlopek.
Where is Jeri Poor located?
Jeri Poor practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 299-5451.
What is Jeri Poor's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jeri Poor enrolled in Medicare?
Yes. Jeri Poor 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 organizations bill Medicare for Jeri Poor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeri Poor reassigns Medicare benefits to 4 organizations: Upstate Medical Anesthesiology Group, Inc. (Syracuse, NY), Chag Anesthesia PC (Syracuse, NY), Syracuse Gastroenterological Associates PC (East Syracuse, NY) and Oswego Hospital (Oswego, NY). Each 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 Jeri Poor'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 Jeri Poor was last updated on December 3, 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.
# Jeri Poor, CRNA · NPI 1124439971
Nurse Anesthetist, Certified Registered physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since May 14, 2014.
## Identity
- **NPI:** 1124439971 (Entity type: Individual)
- **Enumerated:** May 14, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 616605-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 PROSPECT AVE, Syracuse, NY 13203-1807
- **Phone:** (315) 299-5451 · **Fax:** (855) 851-4405
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Upstate Medical Anesthesiology Group, Inc. (NPI 1851485759, Syracuse, NY); Chag Anesthesia PC (NPI 1740279017, Syracuse, NY); Syracuse Gastroenterological Associates PC (NPI 1417326661, East Syracuse, NY); Oswego Hospital (NPI 1255639043, Oswego, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2014
## Record status
- **NPPES last updated:** December 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1124439971) · Data from the CMS NPPES public registry.