MCKYNLEE PAIGE ANDERSON CRNA
NPI 1619657541
Nurse Anesthetist, Certified Registered in Cape Girardeau, MO

Q: What is Mckynlee Anderson's NPI number?

The NPI number for Mckynlee Anderson is 1619657541. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Q: What is Mckynlee 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 Mckynlee Anderson was last updated on July 2, 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.

Active since July 25, 2023Accepts Medicare Assignment

1701 LACEY ST, CAPE GIRARDEAU, MO 63701(573) 651-5562 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mckynlee Paige Anderson Crna NPPES

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

MCKYNLEE PAIGE ANDERSON CRNA (NPI 1619657541) is an individual nurse anesthetist, certified registered in Cape Girardeau, Missouri, licensed in Missouri (2026025831) and active in the NPI registry since July 2023. She is affiliated with Mercy Hospital Southeast and is a graduate of Other (2026).

NPPES Registry Identity

NPI1619657541

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMCKYNLEE PAIGE ANDERSONCredential: CRNA

Location Address1701 LACEY STCape Girardeau, MO 63701-5230

Mailing AddressPo Box 776084Chicago, IL 60677-6084

Phone(573) 651-5562

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJuly 25, 2023

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1619657541 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 MO · 2026025831

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.

1701 LACEY ST, Cape Girardeau, MO 63701

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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

Mckynlee Paige Anderson 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 ID4880158104

PECOS Enrollment IDI20260708002593

Medicare Billing Reassignment

Medicare enrollment records show Mckynlee Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Missouri Hospital Physicians, LLC

Same address

Family Medicine

1701 LACEY ST
Cape Girardeau, MO 63701

Reassigned Medicare billing, Missouri enrollment
470 clinicians in this Medicare group

NPI 1558311522 (573) 331-6880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

SOUTHEAST ANESTHESIA SERVICES

Anesthesiology