MR. DALE P HOTARD III CRNA
NPI 1609314400
Nurse Anesthetist, Certified Registered in Vicksburg, MS
About Mr. Dale P Hotard Iii Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DALE P HOTARD III CRNA (NPI 1609314400) is an individual nurse anesthetist, certified registered in Vicksburg, Mississippi, licensed in Mississippi (901422) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
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. Dale P Hotard 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
5Medicare enrollment records show Dale Hotard reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39208
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Natchez, MS 39120
- Reassigned Medicare billing, Mississippi enrollment
- 63 clinicians in this Medicare group
Louisville, KY 40216
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: University Of Louisville Physicians Inc
- 2,337 clinicians in this Medicare group
Holland, MI 49424
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYUniversity Of Louisville Hospital
Acute Care Hospitals · Louisville, KYCorewell Health Big Rapids Hospital
Acute Care Hospitals · Big Rapids, MICorewell Health Reed City Hospital
Critical Access Hospitals · Reed City, MIMerit Health River Region
Acute Care Hospitals · Vicksburg, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Dale Hotard's NPI number?
The NPI number for Dale Hotard is 1609314400. It was assigned to this individual provider in the NPPES registry on February 1, 2017.
Where is Dale Hotard located?
Dale Hotard practices at 103 Fairview Dr, Vicksburg, MS 39180. The listed phone number is (314) 258-1988.
What is Dale Hotard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Dale Hotard enrolled in Medicare?
Yes. Dale Hotard 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 Dale Hotard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dale Hotard reassigns Medicare benefits to 5 organizations: Anesthesia Consultants PA (Jackson, MS), Flowood Pain Center, LLC (Flowood, MS), Northstar Anesthesia Of Mississippi, LLC (Natchez, MS), University Of Louisville Phyisicians, Inc. (Louisville, KY) and Spectrum Health Primary Care Partners (Holland, MI). 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 Dale Hotard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dale Hotard accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Dale Hotard 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 Dale Hotard affiliated with any hospitals?
According to CMS data, Dale Hotard is affiliated with Jewish Hospital & St Mary's Healthcare, University Of Louisville Hospital, Corewell Health Big Rapids Hospital, Corewell Health Reed City Hospital and Merit Health River Region.
When was this NPI record last updated?
The NPPES record for Dale Hotard was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Dale P Hotard III, CRNA · NPI 1609314400
Nurse Anesthetist, Certified Registered physician in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since February 1, 2017.
## Identity
- **NPI:** 1609314400 (Entity type: Individual)
- **Enumerated:** February 1, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 901422 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 103 FAIRVIEW DR, Vicksburg, MS 39180-8934
- **Phone:** (314) 258-1988
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Consultants PA (NPI 1750300836, Jackson, MS); Flowood Pain Center, LLC (NPI 1356848014, Flowood, MS); Northstar Anesthesia Of Mississippi, LLC (NPI 1124415567, Natchez, MS); University Of Louisville Phyisicians, Inc. (NPI 1265127567, Louisville, KY); Spectrum Health Primary Care Partners (NPI 1538487400, Holland, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609314400) · Data from the CMS NPPES public registry.