CHARLES E DALTON JR. CRNA
NPI 1720004914
Nurse Anesthetist, Certified Registered in Tupelo, MS
About Charles E Dalton Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES E DALTON JR. CRNA (NPI 1720004914) is an individual nurse anesthetist, certified registered in Tupelo, Mississippi, licensed in Mississippi (R860109) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Charles E Dalton Jr. 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
3Medicare enrollment records show Charles Dalton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 91 clinicians in this Medicare group
Belden, MS 38826
- Reassigned Medicare billing, Mississippi enrollment
- 11 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Charles Dalton's NPI number?
The NPI number for Charles Dalton is 1720004914. It was assigned to this individual provider in the NPPES registry on July 14, 2006.
Where is Charles Dalton located?
Charles Dalton practices at 830 South Gloster, Tupelo, MS 38801. The listed phone number is (662) 377-4394.
What is Charles Dalton's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Charles Dalton enrolled in Medicare?
Yes. Charles Dalton 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 Charles Dalton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Dalton reassigns Medicare benefits to 3 organizations: North Mississippi Medical Center, Inc. (Tupelo, MS), Tupelo Anesthesia Group PA (Tupelo, MS) and Trident Anesthesia LLC (Belden, MS). 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 Charles Dalton'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 Charles Dalton was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Charles E Dalton Jr., CRNA · NPI 1720004914
Nurse Anesthetist, Certified Registered physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1720004914 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R860109 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 SOUTH GLOSTER, Tupelo, MS 38801
- **Phone:** (662) 377-4394 · **Fax:** (662) 377-7045
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medical Center, Inc. (NPI 1033585328, Tupelo, MS); Tupelo Anesthesia Group PA (NPI 1558390443, Tupelo, MS); Trident Anesthesia LLC (NPI 1053713123, Belden, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** November 16, 2010
- **Other identifiers:** Medicaid 09473296 (MS); Medicaid 009936468 (AL); Medicare ID-Type Unspecified 430001931 (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720004914) · Data from the CMS NPPES public registry.