Derek Poulson, CRNA
NPI 1033412440 · Certified Registered Nurse Anesthetist · Goshen, IN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Poulson, CRNA is a Certified Registered Nurse Anesthetist provider in Goshen, IN (NPI 1033412440).
Provider details
- NPI number
- 1033412440
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- AA103025 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-12-08
- Last updated
- 2013-11-18
Frequently asked questions
- What is Derek Poulson's NPI number?
- Derek Poulson's National Provider Identifier (NPI) is 1033412440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Poulson's specialty?
- Derek Poulson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derek Poulson located?
- Derek Poulson's practice location on file with NPPES is 57809 Hillside Dr, Goshen, IN 46528-4402.
- What is Derek Poulson's phone number?
- The practice phone number listed in the NPPES registry for Derek Poulson is (801) 623-7813.
- Does Derek Poulson accept Medicare?
- Derek Poulson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Poulson's NPI active?
- Yes — Derek Poulson's NPI (1033412440) is active in the NPPES registry as of the last update on 2013-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.