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CARMEN INGRAM CRNA
NPI 1477590420
Nurse Anesthetist, Certified Registered in Hattiesburg, MS

Active since May 31, 2006PECOS Enrolled
5001 HARDY ST, HATTIESBURG, MS 39402(601) 268-8130 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carmen Ingram Crna NPPES

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

CARMEN INGRAM CRNA (NPI 1477590420) is an individual nurse anesthetist, certified registered in Hattiesburg, Mississippi, licensed in Mississippi (R865080) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1477590420
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCARMEN INGRAMCredential: CRNA
Location Address5001 HARDY STHattiesburg, MS 39402-1308
Mailing Address5001 Hardy StHattiesburg, MS 39402-1308 · (601) 268-8130
Phone(601) 268-8130
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1477590420 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 MS · R865080
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.
5001 HARDY ST, Hattiesburg, MS 39402
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Secondary Practice Location 1

Location 1415 S 28th AveHattiesburg, MS 39401-7246 · Phone (601) 261-3606 · Fax (601) 579-5383

Other Identifiers 1

Medicaid01870054MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Ingram Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Carmen Ingram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hattiesburg Clinic PA
0.1 mi
Dermatology
104 ASBURY CIR
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
NPI 1851488118 (601) 268-5252
Lifelinc Anesthesia, PLLC
258 mi
Anesthesiology
3340 PLAYERS CLUB PKWY STE 350
Memphis, TN 38125
  • Reassigned Medicare billing, Mississippi enrollment
  • 284 clinicians in this Medicare group
NPI 1801021464 (901) 207-2017

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 4

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 procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
80 services80 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
55 services53 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
44 services44 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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.

BLAKE EDWIN BOLEWARE
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
RIVER PHYSICIANS GROUP LLC
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (770) 874-5439
BRADLEY WILLIAMS DO
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
MIJU YU KURTZWEIL D.O.
Emergency Medicine
5001 HARDY ST, MERIT HEALTH WESLEY
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
ANNETTE LONGO MD
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
RUBY MCCULLOUGH HOPKINS MD
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
ALEX GAUTHIER
Internal Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
WESLEY HEALTH SYSTEM LLC
Psychiatric Unit
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000

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 Carmen Ingram's NPI number?

The NPI number for Carmen Ingram is 1477590420. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Carmen Ingram located?

Carmen Ingram practices at 5001 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 268-8130.

What is Carmen Ingram's specialty?

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

Is Carmen Ingram enrolled in Medicare?

Yes. Carmen Ingram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carmen Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Ingram reassigns Medicare benefits to 2 organizations: Hattiesburg Clinic PA (Hattiesburg, MS) and Lifelinc Anesthesia, PLLC (Memphis, TN). 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 Carmen Ingram'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 Carmen Ingram was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.