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MARK ANDERSON CRNA
NPI 1205566304
Nurse Anesthetist, Certified Registered in Apo, AE

Active since June 13, 2022
83.99/100
CMS Quality Rating
48 MDG OPC 41 BOX 15, APO, AE 09461(712) 363-0889 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Dec 20, 2022 (2 updates tracked since 2022).

About Mark Anderson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANDERSON CRNA (NPI 1205566304) is an individual nurse anesthetist, certified registered in Apo, AE, licensed in California (95001826) and active in the NPI registry since June 2022. He maintains a secondary practice location in Apo.

NPPES Registry Identity

NPI1205566304
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK ANDERSONCredential: CRNA
Location Address48 MDG OPC 41 BOX 15Apo, AE 09461
Mailing Address48 Mdg Opc 41 Box 15Apo, AE 09461
Phone(712) 363-0889
Sole ProprietorYes
Enumeration DateJune 13, 2022
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1205566304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95001826
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Practice Location 1

Location 148 MDG OPC 41 Box 15APO, AE 09461 · Phone (707) 423-3000

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.4
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1205566304. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Mark Anderson located?

Mark Anderson practices at 48 Mdg Opc 41 Box 15, Apo, AE 09461. The listed phone number is (712) 363-0889.

What is Mark Anderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mark Anderson was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.