SEAN WAYNE POE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710905039

SEAN WAYNE POE (CRNA) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. R0058266 (OK). The NPI Number for SEAN WAYNE POE (CRNA) is 1710905039

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
SEAN WAYNE POE (CRNA)
NPI
1710905039
Phone
(918) 458-3115
Address
100 S BLISS AVE
Enumeration Date
17 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183426200
Graduation Year
1997 (29 years ago)
PAC ID
7113080193
Group Practice PAC ID
9436069911
Professional Enrollment ID
I20090117000016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SEAN WAYNE POE (CRNA)

  • Bliss Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3115

    Fax: (918) 458-3511

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090117000016ICertified Registered Nurse Anesthetist (Crna)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope3838$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 9436069911View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for SEAN WAYNE POE (CRNA)?
SEAN WAYNE POE (CRNA) — NPI 1710905039 — is the standard way to identify this listing.
Can I rely on SEAN WAYNE POE (CRNA) being an active provider?
As of the registry snapshot, SEAN WAYNE POE (CRNA) is marked active.
What healthcare role does SEAN WAYNE POE (CRNA) hold?
Scheduling teams often label SEAN WAYNE POE (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for SEAN WAYNE POE (CRNA)?
SEAN WAYNE POE (CRNA)'s geographic hint is Tahlequah, Oklahoma in our summary view.
Is the information about SEAN WAYNE POE (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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