DR. ALEXANDRIA THIEL POULOS DNP, CRNA,, BSN, RN,
NPI 1467029652
Nurse Anesthetist, Certified Registered in Chicago, IL
About Dr. Alexandria Thiel Poulos Dnp, Crna,, Bsn, Rn, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDRIA THIEL POULOS DNP, CRNA,, BSN, RN, (NPI 1467029652) is an individual nurse anesthetist, certified registered in Chicago, Illinois, licensed in Illinois (209024184) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Alexandria Thiel Poulos Dnp, Crna,, Bsn, Rn, 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
2Medicare enrollment records show Alexandria Poulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Barrington, IL 60010
- Reassigned Medicare billing, Illinois enrollment
- 17 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Illinois enrollment
- 735 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 60622 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.
CHICAGO, IL 60622
CHICAGO, IL 60622
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 Alexandria Poulos's NPI number?
The NPI number for Alexandria Poulos is 1467029652. It was assigned to this individual provider in the NPPES registry on June 7, 2021.
Where is Alexandria Poulos located?
Alexandria Poulos practices at 2233 W Division St, Chicago, IL 60622. The listed phone number is (312) 770-2000.
What is Alexandria Poulos's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Alexandria Poulos enrolled in Medicare?
Yes. Alexandria Poulos 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 Alexandria Poulos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Poulos reassigns Medicare benefits to 2 organizations: Gip Anesthesia Services PLLC (Lake Barrington, IL) and Northstar Anesthesia Of Illinois, LLC (Arlington, TX). 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 Alexandria Poulos'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 Alexandria Poulos was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Alexandria Thiel Poulos, DNP, CRNA,, BSN, RN, · NPI 1467029652
Nurse Anesthetist, Certified Registered physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 7, 2021.
## Identity
- **NPI:** 1467029652 (Entity type: Individual)
- **Enumerated:** June 7, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209024184 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2233 W DIVISION ST, Chicago, IL 60622-8151
- **Phone:** (312) 770-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gip Anesthesia Services PLLC (NPI 1821733726, Lake Barrington, IL); Northstar Anesthesia Of Illinois, LLC (NPI 1962822395, Arlington, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1467029652) · Data from the CMS NPPES public registry.