Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Paul R. Anderson III, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417909003

Mr. Paul R. Anderson III, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in McComb, Mississippi. Qualified in 2005, 21 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Texas.

Years since qualifying
21
Licensed in
MS, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

215 Marion Ave
McComb, MS 39648-2705
Phone: (601) 249-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2600 Saint Michael Dr, Texarkana, TX 75503-2372 — (903) 614-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 875933 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1072774 (TX)

Record details

NPI number1417909003
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients127
Services billed 133 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Eastern New Mexico Medical Center Hospital · Roswell, NM · listed as Southeastern New Mexico Surgical Center, LLC
  • Southwest Ms Regional Medical Center Hospital · McComb, MS · listed as Southwest Mississippi Regional Medical Center
  • Delta Health System - The Medical Center Hospital · Greenville, MS
  • Lovelace Regional Hospital - Roswell Hospital · Roswell, NM

Colleagues at Main Street Anesthesia of New Mexico, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 228 clinicians in the practice; 12 are shown here.

Other providers in McComb