Active NPI
Jeri Poor, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 616605-1
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 299-5451
- Fax
- (855) 851-4405
- NPI assigned
- May 14, 2014
- 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 | 616605-1 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
PO Box 535750
Atlanta, GA 30353-5510
Phone (866) 507-5244
Other names 1
- Jeri Polchlopek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Albany Medical College of Union University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200
5000 Campuswood Dr
Suite 100
East Syracuse, NY 13057-1254
Phone (315) 234-6677
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4720
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.42 of 100
- Quality
- 97.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616605-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Oswego Hospital | Current | Accepting new patients | |
| Syracuse Gastroenterological Associates PC | Current | Accepting new patients | |
| Upstate Medical Anesthesiology Group, Inc. | Current | Accepting new patients | |
| Chag Anesthesia PC | Current | Accepting new patients | |
| Griffiss Ec, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Syracuse Gastroenterological Associates.PC | Current | Accepting new patients | |
| Oswego Hospital | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918
5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- Anesthesiology Physician
- Rome, NY
- NPI 1487259545
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Oswego, NY
- NPI 1255639043
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1417326661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1124439971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303535510",
"telephone_number": "866-507-5244",
"fax_number": "954-858-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-299-5451",
"fax_number": "855-851-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOR",
"first_name": "JERI",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "616605-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERI",
"last_name": "POLCHLOPEK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.