Active NPI
Jessica Lanae Poe, CRNA
- Certified Registered Nurse Anesthetist
- Altus, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89966
- Practice address
- 1200 E Pecan St
Altus, OK 73521-6141 - Phone
- (803) 795-8605
- Fax
- (580) 379-5859
- NPI assigned
- Jan 15, 2008
- Last updated
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 89966 | OK | Primary |
Addresses
Primary practice location
1200 E Pecan St
Altus, OK 73521-6141
Mailing address
1200 E Pecan St
Altus, OK 73521-6141
Phone (580) 379-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200131810A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JessicaPoe@direct.jcmh.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Pecan St
Altus, OK 73521-6141
205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Jackson County Memorial Hosp Phcy | Past | Accepting new patients |
Locations
1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000
205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650
Interoperability endpoints
- jessicapoe@direct.jcmh.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba Harmon Memorial Hospital
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
dba Jackson County Memorial Hospital Pharmacy
- Institutional Pharmacy
- Altus, OK
- NPI 1518028380
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1033395504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216141",
"telephone_number": "580-379-5000",
"fax_number": "580-379-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216141",
"telephone_number": "803-795-8605",
"fax_number": "580-379-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "JESSICA",
"middle_name": "LANAE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "89966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200131810A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JessicaPoe@direct.jcmh.com",
"affiliation": "N",
"address_1": "1200 E Pecan St",
"city": "Altus",
"state": "OK",
"country_code": "US",
"postal_code": "735216141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.