JOSHUA MICHAEL KENZIE CRNA
NPI 1477072247
Nurse Anesthetist, Certified Registered in Plymouth, MN
About Joshua Michael Kenzie Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSHUA MICHAEL KENZIE CRNA (NPI 1477072247) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Minnesota (117853) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joshua Michael Kenzie Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Joshua Kenzie reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Monticello, MN 55362
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1558600874 (Minnesota)
- 287 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 131 clinicians in this Medicare group
Wyoming, MN 55092
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: North Metro Anesthesia Services PA
- 34 clinicians in this Medicare group
Becker, MN 55308
- Reassigned Medicare billing, Minnesota enrollment
- 52 clinicians in this Medicare group
Thief River Falls, MN 56701
- Reassigned Medicare billing, Minnesota enrollment
- 132 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
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 Joshua Kenzie's NPI number?
The NPI number for Joshua Kenzie is 1477072247. It was assigned to this individual provider in the NPPES registry on September 13, 2017.
Where is Joshua Kenzie located?
Joshua Kenzie practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 852-0435.
What is Joshua Kenzie's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Joshua Kenzie enrolled in Medicare?
Yes. Joshua Kenzie is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Joshua Kenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Kenzie reassigns Medicare benefits to 6 organizations: Metropolitan Anesthesia Network, LLP (Plymouth, MN), Centracare Health System-Nr LLC (Monticello, MN), Certified Anesthesia Care, Co. (Stillwater, MN), North Metro Anesthesia Services P.A. (Wyoming, MN), Central Minnesota Anesthesia Providers, PA (Becker, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Kenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Joshua Kenzie affiliated with any hospitals?
According to CMS data, Joshua Kenzie is affiliated with Fairview Lakes Health Services.
When was this NPI record last updated?
The NPPES record for Joshua Kenzie was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Joshua Michael Kenzie, CRNA · NPI 1477072247
Nurse Anesthetist, Certified Registered physician in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since September 13, 2017.
## Identity
- **NPI:** 1477072247 (Entity type: Individual)
- **Enumerated:** September 13, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 117853 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14700 28TH AVE N STE 20, Plymouth, MN 55447-4876
- **Phone:** (763) 852-0435 · **Fax:** (763) 450-3986
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); Centracare Health System-Nr LLC (NPI 1003353202, Monticello, MN); Certified Anesthesia Care, Co. (NPI 1699736348, Stillwater, MN); North Metro Anesthesia Services P.A. (NPI 1457339780, Wyoming, MN); Central Minnesota Anesthesia Providers, PA (NPI 1881689974, Becker, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477072247) · Data from the CMS NPPES public registry.