Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dale P Hotard III, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1609314400

Mr. Dale P Hotard III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Vicksburg, Mississippi. Qualified in 2016, 10 years ago. Practices with Anesthesia Consultants PA, a 102-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Kentucky and Mississippi.

Years since qualifying
10
Licensed in
KY, MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

103 Fairview Dr
Vicksburg, MS 39180-8934
Phone: (314) 258-1988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 530 S Jackson St, Louisville, KY 40202-1675 — (502) 852-5851
  • 4510 Lakeland Dr, Flowood, MS 39232-9583 — (601) 944-1717
  • 120 Stone Creek Blvd Ste 400, Flowood, MS 39232-8210 — (601) 939-5532
  • 970 Lakeland Dr, Jackson, MS 39216-4635 — (601) 984-8800
  • 1903c Mission 66, Vicksburg, MS 39180-3711 — (601) 994-5941

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901422 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4045094 (KY)

Record details

NPI number1609314400
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 1, 2017
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anesthesia Consultants Pa — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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