NPPES file of Aug 9, 2026

Paul R. Anderson, CRNA

Certified Registered Nurse Anesthetist · McComb, MS

Paul R. Anderson, CRNA is a certified registered nurse anesthetist with a practice address in McComb, Mississippi, and NPI 1417909003, issued on May 16, 2006. Check the license (Mississippi 875933, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417909003
Name
Paul R. Anderson
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License numbers
875933 MS
1072774 TX
Self-reported in NPPES; status is on the state search
Practice location
215 Marion Ave, McComb, MS 39648
Phone
(601) 249-5500
Enumerated
May 16, 2006
Record last updated
Sep 17, 2025
Medicaid ID
00107335 MS
Medicare enrollment
Enrolled (PECOS I20250829004178); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 215 Marion Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Aja Abai, M.D.Hospitalist Physician1760492037
  2. Gerald Adcock, CRNACertified Registered Nurse Anesthetist1821046145
  3. Sarah Andrews, CRNACertified Registered Nurse Anesthetist1215969431
  4. Kathryn Arnold, NP-CAdult Health Nurse Practitioner1730587767
  5. William Bass, N.P.Family Nurse Practitioner1073920716
  6. Gary Boggs, AGACNPAcute Care Nurse Practitioner1194219584

Verify Paul R. Anderson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
    Search for license 875933
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Mississippi license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Industry payments in 2024: $20.11

1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Anderson$20.11
  2. Specialty average$135.08

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Delta Health SystemGreenville, MS
  2. Main Street Anesthesia OF New Mexico, LLCRoswell, NM
  3. Mccomb Anesthesia Associates, LLPMcComb, MS

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul R. Anderson among 840 certified registered nurse anesthetist records in Mississippi

Paul R. Anderson, CRNA is one of 840 certified registered nurse anesthetist records with a practice address in Mississippi. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 63% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated2005 · median 2011 among the 669 with a school on file
  • Record last updated2025 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

19 certified registered nurse anesthetist records list a practice address in McComb

They are 19 of the 644 NPPES records with a practice address in McComb, and 840 certified registered nurse anesthetist records in Mississippi.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Gerald Adcock, CRNAMcComb, MS 396481821046145
  2. Sarah Andrews, CRNAMcComb, MS 396481215969431
  3. Irby Campbell, CRNAMcComb, MS 396481205073996
  4. Jarrod Fontenelle, CRNAMcComb, MS 396481326524869
  5. Hugh Fortenberry, CRNAMcComb, MS 396481003844481
  6. Christina Fortenberry, CRNAMcComb, MS 396481902989700
  7. Gary Jacobs, CRNAMcComb, MS 396481861502155
  8. Jason Lane, CRNAMcComb, MS 396481003827478

Common questions

What is Paul R. Anderson, CRNA's NPI number?

Paul R. Anderson, CRNA's National Provider Identifier (NPI) is 1417909003, issued on May 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Paul R. Anderson, CRNA located?

The NPPES record lists a practice address at 215 Marion Ave, McComb, MS, 39648. Phone: (601) 249-5500. Providers update this record themselves, so call before visiting.

How can I verify Paul R. Anderson, CRNA's license?

NPPES lists Mississippi license number 875933, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.