MR. PAUL R. ANDERSON III CRNA
NPI 1417909003
Nurse Anesthetist, Certified Registered in Mccomb, MS
About Mr. Paul R. Anderson Iii Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL R. ANDERSON III CRNA (NPI 1417909003) is an individual nurse anesthetist, certified registered in Mccomb, Mississippi, licensed in Mississippi (875933) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Delta Health System - The Medical Center, and maintains a secondary practice location in Texarkana.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Paul R. Anderson Iii Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Paul Anderson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mccomb, MS 39648
- Reassigned Medicare billing, Mississippi enrollment
- 25 clinicians in this Medicare group
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- 153 clinicians in this Medicare group
Jackson, MS 39201
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 86 clinicians in this Medicare group
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 32 clinicians in this Medicare group
Atlanta, TX 75551
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
- 383 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Delta Health System - The Medical Center
Acute Care Hospitals · Greenville, MSSouthwest Ms Regional Medical Center
Acute Care Hospitals · Mccomb, MSEastern New Mexico Medical Center
Acute Care Hospitals · Roswell, NMLovelace Regional Hospital - Roswell
Acute Care Hospitals · Roswell, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCCOMB, MS 39648
MCCOMB, MS 39648
MCCOMB, MS 39648
MCCOMB, MS 39648
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 Paul Anderson's NPI number?
The NPI number for Paul Anderson is 1417909003. It was assigned to this individual provider in the NPPES registry on May 16, 2006. The provider is also known as Paul Raymond Anderson Crna.
Where is Paul Anderson located?
Paul Anderson practices at 215 Marion Ave, Mccomb, MS 39648. The listed phone number is (601) 249-5500.
What is Paul Anderson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Paul Anderson enrolled in Medicare?
Yes. Paul Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Paul Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Anderson reassigns Medicare benefits to 7 organizations: Mccomb Anesthesia Associates, LLP (Mccomb, MS), Kings Daughters Medical Center (Brookhaven, MS), Perioperative Services Of Mississippi, LLC (Jackson, MS), Physicians Anesthesia Group, P.A. (Jackson, MS), Delta Health System (Greenville, MS) and 2 more organizations, listed in the Medicare section above. Each 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 Paul Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Anderson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and CareSource and 2 other insurers list Paul Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Paul Anderson affiliated with any hospitals?
According to CMS data, Paul Anderson is affiliated with Delta Health System - The Medical Center, Southwest Ms Regional Medical Center, Eastern New Mexico Medical Center and Lovelace Regional Hospital - Roswell.
When was this NPI record last updated?
The NPPES record for Paul Anderson was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Paul R. Anderson III, CRNA · NPI 1417909003
Nurse Anesthetist, Certified Registered physician in Mccomb, Mississippi. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1417909003 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 875933 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 MARION AVE, Mccomb, MS 39648-2705
- **Phone:** (601) 249-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Mccomb Anesthesia Associates, LLP (NPI 1619916533, Mccomb, MS); Kings Daughters Medical Center (NPI 1043245368, Brookhaven, MS); Perioperative Services Of Mississippi, LLC (NPI 1881123123, Jackson, MS); Physicians Anesthesia Group, P.A. (NPI 1407890783, Jackson, MS); Delta Health System (NPI 1447818026, Greenville, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 17, 2025
- **Other identifiers:** Medicaid 00107335 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1417909003) · Data from the CMS NPPES public registry.