KATHERINE A POOLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1831175504

KATHERINE A POOLE (CRNA) is a healthcare provider. based in Vancouver, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP60739166 (WA). The NPI Number for KATHERINE A POOLE (CRNA) is 1831175504

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE A POOLE (CRNA)
NPI
1831175504
Phone
(360) 828-5396
Address
505 NE 87TH AVE
Enumeration Date
15 December 2005
Last Update Date
3 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608285396
Graduation Year
1996 (30 years ago)
PAC ID
9032176284
Group Practice PAC ID
8426954322
Professional Enrollment ID
I20080716000830
Address ID
OR972103025PO1015XAVEX400
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

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

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Provider Addresses for KATHERINE A POOLE (CRNA)

  • 505, Northeast 87th Avenue, McLoughlin Heights, Vancouver, Clark County, Washington, 98664, United States

    SUITE 46.5

    VANCOUVER, WA 986641989

    Phone: (360) 828-5396

    Type: Mailing

  • PeaceHealth Southwest Medical Center, 400, Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States

    VANCOUVER, WA 986643200

    Phone: (360) 828-5396

    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.

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: 2023-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080716000830ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20170425002722ICertified Registered Nurse Anesthetist (Crna)WATBD
I20230821002548ICertified Registered Nurse Anesthetist (Crna)NYTBD

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.

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

Insurance plans in this area (ZIP 98664)

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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: 8426954322View full group profile
NameSpecialtyState
-WA
A N E S T H E S I O L O G YWA
-WI
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
A N E S T H E S I O L O G YWA
-CT
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

Is KATHERINE A POOLE (CRNA) listed with a National Provider Identifier?
Yes — KATHERINE A POOLE (CRNA) has NPI 1831175504 on file in the registry.
Active or inactive — what applies to KATHERINE A POOLE (CRNA)?
You should see KATHERINE A POOLE (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with KATHERINE A POOLE (CRNA)?
KATHERINE A POOLE (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHERINE A POOLE (CRNA)?
Directory geography for KATHERINE A POOLE (CRNA) centers on Vancouver, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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