Active NPI
Noel Gerard Poindexter, MSN-CRNA
- Certified Registered Nurse Anesthetist
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10380
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (865) 771-0919
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN134650 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | R0090672 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | 1115186 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 10380 | TN | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (865) 771-0919
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000323888 | Other | KY | BLUE CROSS/BLUE SHIELD |
| 20021868A | Medicaid | OK | |
| 4023048 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 4023048 | Other | TN | BLUE CROSS OF TN |
| P00632200 | Other | RAILROAD MEDICARE PIN | |
| 3630138 | Medicaid | TN | |
| 74005836 | Medicaid | KY | |
| 000000323888 | Other | KY | BCBS OF KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN, OH, IN
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (888) 854-3822
560 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6040
919 E Central Ave
Lafollette, TN 37766-2055
Phone (888) 854-3822
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10380 | TN | MD | Pediatric Dentist |
| 1115186 | TN | MD | Certified Registered Nurse Anesthetist |
| RN134650 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesia Cumberland Valley Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesia Highlands Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesia Lakeway, Inc. | Past | Accepting new patients | |
| Resource Anesthesia Barrow Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7145 E Virginia St
Ste 100
Evansville, IN 47715
Phone (812) 476-6166
7145 E Virginia St
Ste 1000
Evansville, IN 47715
Phone (812) 476-6166
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874
3050 Rio Dosa Dr
Lexington, KY 40509
Phone (859) 268-6475
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705
12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
-
- Certified Registered Nurse Anesthetist
- Corbin, KY
- NPI 1780930743
IN, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hillsboro, OH
- NPI 1508113903
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1275823049
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Winder, GA
- NPI 1841546892
Nurse Anesthetist, Certified Registered
-
- Specialist
- Lenoir, NC
- NPI 1144573015
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafollette, TN
- NPI 1639151301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1104813591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "865-771-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "865-771-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINDEXTER",
"first_name": "NOEL",
"middle_name": "GERARD",
"name_prefix": "Mr.",
"credential": "MSN-CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN134650",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0090672",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "1115186",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "10380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000323888",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20021868A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4023048",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TN",
"identifier": "4023048",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00632200",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3630138",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74005836",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KY",
"identifier": "000000323888",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.