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

Martin Vaughn, CRNA

Individual provider Registered Nurse · NPI 1003025826

Martin Vaughn, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Poplar Bluff, Missouri. Qualified in 2001, 25 years ago. Practices with Lifelinc Anesthesia V, PA, a 41-clinician group and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
25
Licensed in
AR, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 785-7721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C001525 (AR)
Registered Nurse Taxonomy 163W00000X · Licence 2005030753 (MO)

Record details

NPI number1003025826
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Lifelinc Anesthesia V, P.A. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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