MR. GROVER SCOTT CRUISE CRNA
NPI 1720043219
Nurse Anesthetist, Certified Registered in Hattiesburg, MS

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
125 S 12TH AVE, HATTIESBURG, MS 39401(601) 310-4509 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Oct 17, 2017 (2 updates tracked since 2017).

About Mr. Grover Scott Cruise Crna NPPES

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

MR. GROVER SCOTT CRUISE CRNA (NPI 1720043219) is an individual nurse anesthetist, certified registered in Hattiesburg, Mississippi, licensed in Mississippi (R847413) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1720043219
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. GROVER SCOTT CRUISECredential: CRNA
Location Address125 S 12TH AVEHattiesburg, MS 39401-6106
Mailing AddressPo Box 2295Asheville, NC 28802-2295 · (828) 398-5244 · Fax (828) 360-3080
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateApril 19, 2006
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1720043219 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 · R847413
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.
125 S 12TH AVE, Hattiesburg, MS 39401

Secondary Practice Location 1

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

Other Identifiers 2

Medicaid00121803MS
Medicaid2116461LA

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. Grover Scott Cruise 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 ID1254376213
PECOS Enrollment IDI20050621001041, I20100811000494, I20140604000686
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

9

Medicare enrollment records show Grover Cruise reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
5909 U S HIGHWAY 49
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
General Practice
100 RED CROSS PL
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
Anesthesiology
694 BELLE TERRE BLVD
La Place, LA 70068
  • Reassigned Medicare billing, Louisiana enrollment
  • 482 clinicians in this Medicare group
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, Alabama, Georgia, Mississippi, North Carolina, New Hampshire, South Carolina, Tennessee and West Virginia enrollments
  • 62 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1834 GRAVES MILL ROAD
Forest, VA 24551
  • Reassigned Medicare billing, Georgia enrollment
  • 34 clinicians in this Medicare group
Family Medicine
500 W 4TH ST
Odessa, TX 79761
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
Anesthesiology
1 ELLIOT WAY, SUITE 200
Manchester, NH 03103
  • Reassigned Medicare billing, New Hampshire enrollment
  • 278 clinicians in this Medicare group
Anesthesiology
67-1125 MAMALAHOA HWY
Kamuela, HI 96743
  • Reassigned Medicare billing, Hawaii enrollment
  • 68 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.

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.
24 services24 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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.

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 Grover Cruise's NPI number?

The NPI number for Grover Cruise is 1720043219. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Grover Cruise located?

Grover Cruise practices at 125 S 12th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 310-4509.

What is Grover Cruise's specialty?

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

Is Grover Cruise enrolled in Medicare?

Yes. Grover Cruise 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 Grover Cruise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grover Cruise reassigns Medicare benefits to 9 organizations: Hattiesburg Clinic PA (Hattiesburg, MS), Ochsner Clinic LLC (Bogalusa, LA), Zephyr Anesthesia, LLC (La Place, LA), Medstream Anesthesia PLLC (Richardson, TX), Musc Community Physicians (Bamberg, SC) and 4 more organizations, listed in the Medicare section above. 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 Grover Cruise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grover Cruise accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare, HMO Louisiana and Oscar Health Plan, Inc. and 1 other insurer list Grover Cruise 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 Grover Cruise affiliated with any hospitals?

According to CMS data, Grover Cruise is affiliated with Ochsner Medical Center Acute, Musc Medical Center, Musc Health Columbia Medical Center Downtown and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Grover Cruise was last updated on October 3, 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.