Individual provider Active NPI

Mary Ann Nalder, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, MS
National Provider Identifier
1073937876
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R869911 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-5900
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R869911 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5900

Other names 1

  • Mary Ann Mason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR, MO, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151223000846 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991006512 Reassigns benefits to 6 organizations
I20240111001711 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991006512 Reassigns benefits to 2 organizations
I20250513000685 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991006512 Reassigns benefits to 2 organizations
I20260106000992 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991006512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Dreams Anesthesia PLLCGroup PAC ID 1254757685, 19 clinicians
Perioperative Services of Mississippi, LLCGroup PAC ID 8921365255, 98 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802

1235 E Cherokee St
Springfield, MO 65804-2203

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 846-0061

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R869911MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 29, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 12, 2025 Accepting new patients
Jackson Anesthesia Associates PA CurrentSince Jul 10, 2017 Accepting new patients
Rural Health Pain Management LLC CurrentSince Dec 5, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 15, 2015 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 12, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 12, 2025 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Sweet Dreams Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Dec 31, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 15, 2015 Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

2466 Flowood Dr
#A
Flowood, MS 39232
Phone (601) 326-9393

1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

848 Adams Ave
Ste L201
Memphis, TN 38103
Phone (901) 287-6869

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1073937876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALDER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R869911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MASON",
            "middle_name": "ANN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.