Individual provider Active NPI

Noel Gerard Poindexter, MSN-CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Sam Houston, TX
National Provider Identifier
1104813591
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10380 Issued in TN
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

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000323888OtherKYBLUE CROSS/BLUE SHIELD
20021868AMedicaidOK
4023048OtherTNBLUE CROSS/BLUE SHIELD
4023048OtherTNBLUE CROSS OF TN
P00632200OtherRAILROAD MEDICARE PIN
3630138MedicaidTN
74005836MedicaidKY
000000323888OtherKYBCBS OF KY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, OH, IN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040420000743 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315932993 Reassigns benefits to 1 organization
I20100924000728 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315932993 Reassigns benefits to 1 organization
I20110503000140 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315932993 Reassigns benefits to 1 organization
I20211014000972 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315932993 Reassigns benefits to 1 organization

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
Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

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

LicenseStateTypeSpecialty
10380TNMDPediatric Dentist
1115186TNMDCertified Registered Nurse Anesthetist
RN134650TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia Cumberland Valley Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
Resource Anesthesia Nurse Anesthetist, Certified Registered Current Accepting new patients
Resource Anesthesia Highlands Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2012 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.