Marvin Kullen Poe, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C003121 Issued in AR

Practice address

1100 N Kentucky Ave
West Plains, MO 65775-2029

Phone

(417) 256-9111

NPI assigned

Apr 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Jonesboro Anesthesia IncGroup PAC ID 6709798077, 60 clinicians

White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Independence Anesthesia LLCGroup PAC ID 3678985355, 3 clinicians

Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpoe680175@direct.bmhcc.org

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.

• Independence Anesthesia LLC

  • Nurse Practitioner
  • Jonesboro, AR
  • NPI 1114524147
  Medicare reassignment Care Compare group NPD
• Jonesboro Anesthesia Inc

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1043228448
  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia V, P.a.

  • Anesthesiology Physician
  • West Memphis, AR
  • NPI 1063907244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• White County Medical Center

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment Care Compare group NPD
• Arkansas Methodist Hospital Corporation

  • Anesthesiology Physician
  • Paragould, AR
  • NPI 1861593816
  Medicare reassignment NPD
• Johnson Regional Medical Center

  • Anesthesiology Physician
  • Clarksville, AR
  • NPI 1396794525
  Medicare reassignment NPD
• Unity Health - Newport

  • Critical Access Hospital
  • Newport, AR
  • NPI 1508450339
  Medicare reassignment NPD
• Baxter County Regional Hospital Inc

  • Anesthesiology Physician
  • Mountain Home, AR
  • NPI 1114178753
  Medicare reassignment
• Arkansas Methodist Hospital Corporation

  • Otolaryngology Physician
  • Paragould, AR
  • NPI 1205457405
  NPD
• Johnson Regional Medical Center

  • Land Ambulance
  • Clarksville, AR
  • NPI 1275753881
  NPD
• White County Medical Center

  • Primary Care Clinic/Center
  • Bradford, AR
  • NPI 1386015097
  NPD
• White County Medical Center

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD

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

• Baptist Memorial Hospital-Jonesboro Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1386699353
  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669815122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 OAK PARK BLVD",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657755195",
            "telephone_number": "870-217-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "MARVIN",
        "middle_name": "KULLEN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R081024",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Jones Pierce, MS, CCC-SLP
• Anthony Steven Pilalas
• Kameron Day Piper, OD, MBA
• Knial Richard Piper, O.D.
• Betty Pirkle
• Mandy Polletta
• Tara Grace Porter, ATC, LAT
• Kristy Potts
• Tiffany Poulette, PHARMD
• Preferred Family Healthcare Inc

• Certified Registered Nurse Anesthetist in West Plains, MO
• Providers in West Plains, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.