Mark Anderson, CRNA
NPI 1205566304 · Certified Registered Nurse Anesthetist · Travis Afb, CA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Anderson, CRNA is a Certified Registered Nurse Anesthetist provider in Travis Afb, CA (NPI 1205566304).
Provider details
- NPI number
- 1205566304
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95001826 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Mark Anderson's NPI number?
- Mark Anderson's National Provider Identifier (NPI) is 1205566304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Anderson's specialty?
- Mark Anderson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Anderson located?
- Mark Anderson's practice location on file with NPPES is 101 Bodin Cir, Travis Afb, CA 94535-1809.
- What is Mark Anderson's phone number?
- The practice phone number listed in the NPPES registry for Mark Anderson is (707) 423-3300.
- Does Mark Anderson accept Medicare?
- Mark Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Anderson's NPI active?
- Yes — Mark Anderson's NPI (1205566304) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.