POPLAR BLUFF CRNA
NPI 1730330168
Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

Active since October 03, 2008
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 785-7500 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Poplar Bluff Crna NPPES

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

POPLAR BLUFF CRNA (NPI 1730330168) is a healthcare organization registered as a nurse anesthetist, certified registered in Poplar Bluff, Missouri and active in the NPI registry since October 2008. The organization lists Linda A Epstein, Vp & Acting General Counsel, as its authorized official.

NPPES Registry Identity

NPI1730330168
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePOPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Location Address2620 N WESTWOOD BLVDPoplar Bluff, MO 63901-3396
Mailing AddressPo Box 3937Poplar Bluff, MO 63902-3937 · (573) 785-7500
Organization SubpartNo
Authorized OfficialLinda A EpsteinVp & Acting General Counsel · (239) 598-3131
Enumeration DateOctober 3, 2008
Last NPPES UpdateMarch 16, 2012
✔ NPI 1730330168 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
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.
2620 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsPoplar Bluff Crna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poplar Bluff Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Poplar Bluff Crna, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Family Practice2
Internal Medicine1
Pediatric Medicine1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1013262922
2588 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 778-1277
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558157883
2588 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 778-1277
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1750496253
2400 LUCY LEE PKWY STE A
Poplar Bluff, MO 63901
(573) 686-1144
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1992850457
130 E. HARBIN
Puxico, MO 63960
(573) 222-3556
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1144245523
130 E HARBIN AVE
Puxico, MO 63960
(573) 222-3556
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1013279918
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-7575
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1588968606
610 N ONE MILE RD
Dexter, MO 63841
(573) 624-3600
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1336404052
610 N ONE MILE RD
Dexter, MO 63841
(573) 624-3600
✔ PECOS26 mi
Nurse Practitioner
NPI 1255696001
741 S WALNUT ST
Bernie, MO 63822
(573) 293-6836
✔ PECOS✔ Accepts Medicare26 mi
Pediatric Medicine
NPI 1457741332
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS28 mi
Nurse Practitioner
NPI 1407692429
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1508881533
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1356061121
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare28 mi

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

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 Poplar Bluff Regional Medical Center LLC's NPI number?

The NPI number for Poplar Bluff Regional Medical Center LLC is 1730330168. It was assigned to this organization in the NPPES registry on October 3, 2008. The provider is doing business as Poplar Bluff Crna.

Where is Poplar Bluff Regional Medical Center LLC located?

Poplar Bluff Regional Medical Center LLC is located at 2620 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 785-7500.

What is Poplar Bluff Regional Medical Center LLC's specialty?

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

Is Poplar Bluff Regional Medical Center LLC enrolled in Medicare?

Yes. Poplar Bluff Regional Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Poplar Bluff Regional Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Poplar Bluff Regional Medical Center LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Poplar Bluff Regional Medical Center LLC was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.