MCKENZIE MAXSON CRNA
NPI 1275467805
Nurse Anesthetist, Certified Registered in Charleston, WV
About Mckenzie Maxson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE MAXSON CRNA (NPI 1275467805) is an individual nurse anesthetist, certified registered in Charleston, West Virginia, licensed in West Virginia (105271) and active in the NPI registry since June 2026. She is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mckenzie Maxson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mckenzie Maxson's NPI number?
The NPI number for Mckenzie Maxson is 1275467805. It was assigned to this individual provider in the NPPES registry on June 9, 2026.
Where is Mckenzie Maxson located?
Mckenzie Maxson practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5432.
What is Mckenzie Maxson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mckenzie Maxson enrolled in Medicare?
Yes. Mckenzie Maxson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mckenzie Maxson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mckenzie Maxson, CRNA · NPI 1275467805
Nurse Anesthetist, Certified Registered physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since June 9, 2026.
## Identity
- **NPI:** 1275467805 (Entity type: Individual)
- **Enumerated:** June 9, 2026
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 105271 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1227
- **Phone:** (304) 388-5432
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 30, 2026
- **Other identifiers:** Medicaid 1275467805 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1275467805) · Data from the CMS NPPES public registry.