MEKENZIE SPENCER JOHNSTON KMACK CRNA
NPI 1275821316
Nurse Anesthetist, Certified Registered in Newport, OR

Active since July 11, 2011Accepts Medicare Assignment
76.82/100
CMS Quality Rating
930 SW ABBEY ST, NEWPORT, OR 97365(541) 265-2244(541) 574-1838 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mekenzie Spencer Johnston Kmack Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEKENZIE SPENCER JOHNSTON KMACK CRNA (NPI 1275821316) is an individual nurse anesthetist, certified registered in Newport, Oregon, licensed in Iowa (D127901) and active in the NPI registry since July 2011. She is affiliated with Willapa Harbor Hospital and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275821316
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMEKENZIE SPENCER JOHNSTON KMACKCredential: CRNA
Location Address930 SW ABBEY STNewport, OR 97365-4820
Mailing Address313 Se 116th StSouth Beach, OR 97366-9729 · (206) 399-3404
Fax(541) 574-1838
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateMarch 15, 2016
NPI 1275821316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IA · D127901
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

930 SW ABBEY ST, Newport, OR 97365

Other Names 1

Former Name (1)Mekenzie Spencer Johnston Crna

Other Identifiers 4

OtherD-127901IA · Arnp
Medicare UPINR181055OR
Other127901IA · Rn
Medicaid500649068OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mekenzie Spencer Johnston Kmack Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537339379
PECOS Enrollment IDI20150114000420

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willapa Harbor Hospital

Critical Access Hospitals · South Bend, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501303
Location800 Alder StreetSouth Bend, WA 98586 · Pacific County
Emergency services

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
930 SW ABBEY ST
NEWPORT, OR 97365
Radiology (Diagnostic Radiology)
930 SW ABBEY ST
NEWPORT, OR 97365
Physical Therapist
930 SW ABBEY ST
NEWPORT, OR 97365
Physical Therapy Assistant
930 SW ABBEY ST
NEWPORT, OR 97365
Physical Therapy Assistant
930 SW ABBEY ST
NEWPORT, OR 97365
Physical Therapist
930 SW ABBEY ST
NEWPORT, OR 97365
Nurse Anesthetist, Certified Registered
930 SW ABBEY ST
NEWPORT, OR 97365
Speech-Language Pathologist
930 SW ABBEY ST
NEWPORT, OR 97365

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 Mekenzie Kmack's NPI number?

The NPI number for Mekenzie Kmack is 1275821316. It was assigned to this individual provider in the NPPES registry on July 11, 2011. The provider is also known as Mekenzie Spencer Johnston Crna.

Where is Mekenzie Kmack located?

Mekenzie Kmack practices at 930 SW Abbey St, Newport, OR 97365. The listed phone number is (541) 265-2244.

What is Mekenzie Kmack's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mekenzie Kmack enrolled in Medicare?

Yes. Mekenzie Kmack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mekenzie Kmack affiliated with any hospitals?

According to CMS data, Mekenzie Kmack is affiliated with Willapa Harbor Hospital and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Mekenzie Kmack was last updated on March 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.