MR. SAMUEL WHITE CRNA
NPI 1619916434
Nurse Anesthetist, Certified Registered in Waynesboro, MS

Active since June 06, 2006Accepts Medicare Assignment
950 MATTHEW DR, WAYNESBORO, MS 39367(601) 735-7101(601) 735-7181 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel White Crna NPPES

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

MR. SAMUEL WHITE CRNA (NPI 1619916434) is an individual nurse anesthetist, certified registered in Waynesboro, Mississippi, licensed in Mississippi (R860585) and active in the NPI registry since June 2006. He is affiliated with Wayne General Hospital and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619916434
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. SAMUEL WHITECredential: CRNA
Location Address950 MATTHEW DRWaynesboro, MS 39367-2567
Mailing Address950 Matthew DrWaynesboro, MS 39367-2590 · (601) 735-7101 · Fax (601) 735-7181
Fax(601) 735-7181
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1619916434 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 · R860585
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.
950 MATTHEW DR, Waynesboro, MS 39367

Other Identifiers 1

Medicaid02672767MS

Accepted 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. Samuel White 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 ID7719905470
PECOS Enrollment IDI20051110000783, I20240930001746

Areas of Expertise CMS Part B claims 3

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 nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940
This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.
25 services25 patients
Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942
Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.
15 services15 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Wayne General Hospital

Acute Care Hospitals · Waynesboro, MS
OwnershipGovernment - Local
CMS Certification Number250077
Location950 Matthew DrWaynesboro, MS 39367 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39367 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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Respite Care
950 MATTHEW DR
WAYNESBORO, MS 39367
Surgery
950 MATTHEW DR
WAYNESBORO, MS 39367
Nurse Practitioner (Acute Care)
950 MATTHEW DR
WAYNESBORO, MS 39367
Nurse Anesthetist, Certified Registered
950 MATTHEW DR
WAYNESBORO, MS 39367
Physician Assistant (Medical)
950 MATTHEW DR
WAYNESBORO, MS 39367
Ambulance
950 MATTHEW DR
WAYNESBORO, MS 39367
Medicare Defined Swing Bed Unit
950 MATTHEW DR
WAYNESBORO, MS 39367
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
950 MATTHEW DR
WAYNESBORO, MS 39367

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 Samuel White's NPI number?

The NPI number for Samuel White is 1619916434. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Samuel White located?

Samuel White practices at 950 Matthew Dr, Waynesboro, MS 39367. The listed phone number is (601) 735-7101.

What is Samuel White's specialty?

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

Is Samuel White enrolled in Medicare?

Yes. Samuel White 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.

What insurance does Samuel White accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Samuel White 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 Samuel White affiliated with any hospitals?

According to CMS data, Samuel White is affiliated with Wayne General Hospital.

When was this NPI record last updated?

The NPPES record for Samuel White was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.