Paul R. Anderson III, CRNA
NPI 1417909003ActiveIndividual· Nurse Anesthetist, Certified Registered· McComb, MS
Nurse Anesthetist, Certified Registered (CRNA) with Main Street Anesthesia of New Mexico, LLC and 2 other groups, practicing in McComb, Mississippi. Medicare paid $25,052 for services to 127 patients in 2024. Merck Sharp & Dohme LLC reported $20.11 in payments in 2024, mostly food and beverage. Lists Delta Health System - the Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1417909003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Sep 17, 2025 |
| Certified by provider | Sep 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 875933 | MS |
| Nurse Anesthetist, Certified Registered | 367500000X | 1072774 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MS); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NM); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 133 across 44 procedure codes |
| Paid by Medicare | $25,052 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Main Street Anesthesia of New Mexico, LLCRio Rancho, NM · 236 clinicians
- McComb Anesthesia Associates, LLPMcComb, MS · 16 clinicians
- Delta Health SystemGreenville, MS · 12 clinicians
Hospital affiliations
- Delta Health System - the Medical CenterGreenville, MS
- Eastern New Mexico Medical CenterRoswell, NM
- Lovelace Regional Hospital - RoswellRoswell, NM
- Southwest Ms Regional Medical CenterMcComb, MS
Industry payments (Open Payments)
- 2024$20.11 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $20.11 | 1 |
What the 2024 payments were for
- Food and Beverage$20.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in McComb
- 1821046145
- 1215969431
- 1952113250
- 1205073996
- 1326524869
- 1902989700
- 1003844481
- 1235991852
- 1861502155
- 1477149870
- 1003827478
- 1447261805
All Nurse Anesthetist, Certified Registered providers in Mississippi →