Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristina Jean Poller, DO

Individual provider Anesthesiology Physician · NPI 1114005501

Kristina Jean Poller, DO is an Anesthesiology in Mc Lean, Virginia. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2005, 21 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
21
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MD, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Ctr
Mc Lean, VA 22102-3109
Phone: (703) 287-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0102202776 (VA)
Anesthesiology Physician Taxonomy 207L00000X · Licence H0069445 (MD)

Record details

NPI number1114005501
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021
Mailing address2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2005 (21 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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