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DR. JACOB ADAM POORE CRNA
NPI 1598433245
Nurse Anesthetist, Certified Registered in Ft. Bliss, TX

Active since August 30, 2021Accepts Medicare Assignment
18511 HIGHLANDER MEDICS STREET, WILLIAM BEAUMONT ARMY MEDICAL CENTER, FT. BLISS, TX 79918(915) 569-3213 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob Adam Poore Crna NPPES

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

DR. JACOB ADAM POORE CRNA (NPI 1598433245) is an individual nurse anesthetist, certified registered in Ft. Bliss, Texas, licensed in Missouri (2024005892) and active in the NPI registry since August 2021. He is affiliated with Fitzgibbon Hospital, maintains a secondary practice location in Columbia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1598433245
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. JACOB ADAM POORECredential: CRNA
Location Address18511 HIGHLANDER MEDICS STREET, WILLIAM BEAUMONT ARMY MEDICAL CENTERFt. Bliss, TX 79918
Mailing Address18511 Highlander Medics StreetFt. Bliss, TX 79918 · (915) 569-3213
Phone(915) 569-3213
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 30, 2021
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1598433245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MO · 2024005892✔ Licensed in WA · 134142
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.
18511 HIGHLANDER MEDICS STREET, Ft. Bliss, TX 79918
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Secondary Practice Location 1

Location 1One Hospital DrColumbia, MO 65212-0001 · Phone (573) 882-2568 · Fax (855) 903-0985

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas.Insurance ›

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. Jacob Adam Poore 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 ID3072051424
PECOS Enrollment IDI20240815003132

Medicare Billing Reassignments

4

Medicare enrollment records show Jacob Poore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John Fitzgibbon Memorial Hospital Inc
876 mi
Clinic/Center
2305 S 65 HIGHWAY
Marshall, MO 65340
  • Reassigned Medicare billing, Missouri enrollment
  • 70 clinicians in this Medicare group
NPI 1285650176 (660) 831-3553
Carroll County Memorial Hospital
889 mi
Critical Access
1502 N JEFFERSON ST
Carrollton, MO 64633
  • Reassigned Medicare billing, Missouri enrollment
  • 91 clinicians in this Medicare group
NPI 1528067113 (660) 542-1695
Saint Lukes Hospital Of Chillicothe
903 mi
Critical Access
2799 N WASHINGTON
Chillicothe, MO 64601
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245433127 (Missouri)
  • 79 clinicians in this Medicare group
NPI 1912948308 (660) 646-1480
Saint Luke's Hospital Of Trenton
911 mi
Critical Access
191 IOWA BLVD
Trenton, MO 64683
  • Reassigned Medicare billing, Missouri enrollment
  • 76 clinicians in this Medicare group
NPI 1841274057 (660) 358-5700

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260142
Location2305 S 65 HighwayMarshall, MO 65340 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79918 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 6

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

DR. MARC NICHOLES DO
Student in an Organized Health Care Education/Training Program
18511 HIGHLANDER MEDICS STREET
FT. BLISS, TX 79918
El Paso County (915) 742-0576
DR. COURTNEY ROSE USRY D.O.
Internal Medicine (Cardiovascular Disease)
18511 HIGHLANDER MEDICS STREET
FORT BLISS, TX 79918
El Paso County (915) 742-9856
DAREN CLATE WEATHERBY PA-C
Physician Assistant
18511 HIGHLANDER MEDICS STREET
FT. BLISS, TX 79918
El Paso County (915) 569-3213
MRS. CRYSTAL MARY ROEDLER LCSW
Social Worker (Clinical)
18511 HIGHLANDER MEDICS STREET
EL PASO, TX 79918
El Paso County (915) 742-2800
YOLANDA GINNY SHAMY LPC
Counselor (Professional)
18511 HIGHLANDER MEDICS STREET, WBAMC
FORT BLISS, TX 79918
El Paso County (915) 569-3213
DR. ISAAC R THIMMESCH D.O.
Obstetrics & Gynecology
18511 HIGHLANDER MEDICS STREET
FORT BLISS, TX 79918
El Paso County (915) 742-2273

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 Jacob Poore's NPI number?

The NPI number for Jacob Poore is 1598433245. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Jacob Poore located?

Jacob Poore practices at 18511 Highlander Medics Street William Beaumont Army Medical Center, Ft. Bliss, TX 79918. The listed phone number is (915) 569-3213.

What is Jacob Poore's specialty?

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

Is Jacob Poore enrolled in Medicare?

Yes. Jacob Poore 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 Jacob Poore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Poore reassigns Medicare benefits to 4 organizations: John Fitzgibbon Memorial Hospital Inc (Marshall, MO), Carroll County Memorial Hospital (Carrollton, MO), Saint Lukes Hospital Of Chillicothe (Chillicothe, MO) and Saint Luke's Hospital Of Trenton (Trenton, MO). 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 Jacob Poore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Poore accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Texas list Jacob Poore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Poore affiliated with any hospitals?

According to CMS data, Jacob Poore is affiliated with Fitzgibbon Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Poore was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.