MR. PAUL R. ANDERSON III CRNA
NPI 1417909003
Nurse Anesthetist, Certified Registered in Mccomb, MS

Q: 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.

Q: What is Paul Anderson's specialty?

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

Q: 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 11 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.

Active since May 16, 2006Accepts Medicare Assignment

215 MARION AVE, MCCOMB, MS 39648(601) 249-5500 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Jun 13, 2023, Jul 29, 2022 and 1 more (4 updates tracked since 2017).

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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 affiliated with Delta Health System - The Medical Center, maintains a secondary practice location in Texarkana, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417909003

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. PAUL R. ANDERSON IIICredential: CRNA

Location Address215 MARION AVEMccomb, MS 39648-2705

Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960

Phone(601) 249-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 16, 2006

Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1417909003 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

Licenses✔ Licensed in MS · 875933✔ Licensed in TX · 1072774

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.

215 MARION AVE, Mccomb, MS 39648

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Other Names 1

Other Name (5)Paul Raymond Anderson Crna

Secondary Practice Location 1

Location 12600 Saint Michael DrTexarkana, TX 75503-2372 · Phone (903) 614-1000

Other Identifiers 1

Medicaid00107335MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1355357914

PECOS Enrollment IDI20070622000139, I20250829004178

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.

Anesthesia for other closed procedure on chest 00520

Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.

14 services14 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

14 services14 patients

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, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250082

Location1400 E Union Street / PO Box 5247Greenville, MS 38704 · Washington County

Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Eastern New Mexico Medical Center

Acute Care Hospitals · Roswell, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320006

Location405 W Country Club RoadRoswell, NM 88201 · Chaves County

Emergency services Birthing friendly

Lovelace Regional Hospital - Roswell

Acute Care Hospitals · Roswell, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320086

Location117 East 19th StreetRoswell, NM 88201 · Chaves County

Emergency services Birthing friendly

Physician 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.

New Patient

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARTI VADALIA MD

Student in an Organized Health Care Education/Training Program