CLYDE H HADLEY CRNA
NPI 1396771226
Registered Nurse in Natchez, MS
About Clyde H Hadley Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLYDE H HADLEY CRNA (NPI 1396771226) is an individual registered nurse in Natchez, Mississippi, licensed in Mississippi (R869711) and active in the NPI registry since June 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clyde H Hadley Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clyde Hadley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Van Wert, OH 45891
- Reassigned Medicare billing, West Virginia enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NATCHEZ, MS 39120
NATCHEZ, MS 39120
NATCHEZ, MS 39120
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 Clyde Hadley's NPI number?
The NPI number for Clyde Hadley is 1396771226. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Clyde Hadley located?
Clyde Hadley practices at 129 Jefferson Davis Blvd, Natchez, MS 39120. The listed phone number is (601) 445-6248.
What is Clyde Hadley's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Clyde Hadley enrolled in Medicare?
Yes. Clyde Hadley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clyde Hadley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Hadley reassigns Medicare benefits to Clinical Colleagues LLC (Van Wert, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clyde Hadley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clyde Hadley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Clyde H Hadley, CRNA · NPI 1396771226
Registered Nurse provider in Natchez, Mississippi. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1396771226 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** R869711 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 JEFFERSON DAVIS BLVD, Natchez, MS 39120-5103
- **Phone:** (601) 445-6248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Clinical Colleagues LLC (NPI 1992725766, Van Wert, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other P00132031 (MS); Medicaid 08527368 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1396771226) · Data from the CMS NPPES public registry.