JOHN BOLLENBACHER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1952380792

Certified Registered Nurse Anesthetist

JOHN BOLLENBACHER (CRNA) is a healthcare provider. based in Poplar bluff, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 086417 (MO). The NPI Number for JOHN BOLLENBACHER (CRNA) is 1952380792

Main info

Male

42 Years Of Experience

Accepts Medicare Assignment

Name

JOHN BOLLENBACHER (CRNA)

NPI

1952380792

Phone

(573) 686-5550

Address

2140 AUTUMN RD

Enumeration Date

11 January 2006

Last Update Date

4 April 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5737279080

Graduation Year

1984 (42 years ago)

PAC ID

7719002872

Group Practice PAC ID

6608005111

Professional Enrollment ID

I20100913000518

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JOHN BOLLENBACHER (CRNA)

2140, Autumn Road, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639012703
Phone: (573) 686-5550
Fax: (573) 686-2139
Type: Mailing
219 PHYSICIANS PARK
POPLAR BLUFF, MO 639013956
Phone: (573) 686-5550
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63901)

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Provider's Procedures

JOHN BOLLENBACHER (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHET	MO	00142	Anesthesia for lens surgery	264	241

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6608005111View full group profile

Name	Specialty	State
GREG READ (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
MR. JEREMY MICHAEL DAVES (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
DONALD FOUST (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO

Reviews

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Frequently asked questions

Where can patients find JOHN BOLLENBACHER (CRNA)'s NPI?

You can confirm JOHN BOLLENBACHER (CRNA) with NPI 1952380792; it appears in the national provider directory.

Is JOHN BOLLENBACHER (CRNA)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does JOHN BOLLENBACHER (CRNA) treat or focus on?

Patients typically see JOHN BOLLENBACHER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What location shows for JOHN BOLLENBACHER (CRNA)?

We surface Poplar Bluff, Missouri for JOHN BOLLENBACHER (CRNA) based on available NPPES addresses.

What if Poplar Bluff, Missouri seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.