Timothy Paul Kordick, CRNA
Certified Registered Nurse Anesthetist · Poplar Bluff, MO
Timothy Paul Kordick, CRNA is a certified registered nurse anesthetist with a practice address in Poplar Bluff, Missouri, and NPI 1174796601, issued on Apr 4, 2008. Check the license (Missouri 2004031215, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Timothy Paul Kordick
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 2004031215 MO
Self-reported in NPPES; status is on the state search - Practice location
- 2620 N Westwood Blvd, Poplar Bluff, MO 63901
- Phone
- (573) 686-4111
- Enumerated
- Apr 4, 2008
- Record last updated
- Apr 4, 2008 (not updated in 18 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20050310000686); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,069 in Missouri → Look up another NPI →
Also registered at 2620 N Westwood Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chelsea Bilderback, FNP-CFamily Nurse Practitioner1407741671
- Alexis CampbellPsychiatric/Mental Health Nurse Practitioner1851249379
- Lisa CarrollCertified Registered Nurse Anesthetist1770851743
- Imran Cheema, M.D.Internal Medicine Physician1316992340
- Candice Copeland, NPFamily Nurse Practitioner1548562531
- Richard CraytonCertified Registered Nurse Anesthetist1356555148
Verify Timothy Paul Kordick in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2004031215Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $39.19
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Rural Health Pain Management LLCPoplar Bluff, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Timothy Paul Kordick among 2,069 certified registered nurse anesthetist records in Missouri
Timothy Paul Kordick, CRNA is one of 2,069 certified registered nurse anesthetist records with a practice address in Missouri. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 42% of them.
- NPI issued2008 · 42% of these records are older, 55% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2002 · median 2013 among the 1,508 with a school on file
- Record last updated2008 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 certified registered nurse anesthetist records list a practice address in Poplar Bluff
They are 17 of the 1,388 NPPES records with a practice address in Poplar Bluff, and 2,069 certified registered nurse anesthetist records in Missouri.
All 2,069 in Missouri → Every provider in Poplar Bluff → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- John Bollenbacher, CRNAPoplar Bluff, MO 639011952380792
- Jacob Briscoe, CRNAPoplar Bluff, MO 639011972736551
- Lisa CarrollPoplar Bluff, MO 639011770851743
- Richard CraytonPoplar Bluff, MO 639011356555148
- Shane Faltys, CRNAPoplar Bluff, MO 639011164640926
- Roger Faltys, CRNAPoplar Bluff, MO 639011255541165
- Donald Foust, CRNAPoplar Bluff, MO 639011477532430
- Charles Hollis, CRNAPoplar Bluff, MO 639011780903021
Common questions
What is Timothy Paul Kordick, CRNA's NPI number?
Timothy Paul Kordick, CRNA's National Provider Identifier (NPI) is 1174796601, issued on Apr 4, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Paul Kordick, CRNA located?
The NPPES record lists a practice address at 2620 N Westwood Blvd, Poplar Bluff, MO, 63901. Phone: (573) 686-4111. Providers update this record themselves, so call before visiting.
How can I verify Timothy Paul Kordick, CRNA's license?
NPPES lists Missouri license number 2004031215, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.