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MARK J. KERNAN CRNA
NPI 1609953157
Nurse Anesthetist, Certified Registered in Waupun, WI

Active since November 01, 2006
620 W BROWN ST, WAUPUN, WI 53963(920) 324-5581(920) 926-8370 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark J. Kernan Crna NPPES

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

MARK J. KERNAN CRNA (NPI 1609953157) is an individual nurse anesthetist, certified registered in Waupun, Wisconsin, licensed in Wisconsin (029908) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609953157
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK J. KERNANCredential: CRNA
Location Address620 W BROWN STWaupun, WI 53963-1702
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8332 · Fax (920) 926-8370
Phone(920) 324-5581
Fax(920) 926-8370
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 11, 2017
✔ NPI 1609953157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 029908
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 111617 (WI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 138 (WI)
620 W BROWN ST, Waupun, WI 53963
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Other Identifiers 3

Medicare UPINR39672
Medicaid43331900WI
Medicare ID-Type Unspecified211040008WI

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.

JACE LACHAPELLE DPT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-5581
KOURTNEY KAYE LECHNER ULLRICH MS LPC
Counselor (Mental Health)
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 926-4200
MRS. LESLIE LYNN SCHWEITZER CRNA
Nurse Anesthetist, Certified Registered
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-5581
BARBARA E SCHMITT PT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-6544
KAZOUA KUE
Social Worker (Clinical)
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-7600
KATY E MENTELL PT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-6544
YVES-MARIO PIVERGER MD
Family Medicine
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-5581
JANELLE GOBELI DPT
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-6544

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 Mark Kernan's NPI number?

The NPI number for Mark Kernan is 1609953157. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mark Kernan located?

Mark Kernan practices at 620 W Brown St, Waupun, WI 53963. The listed phone number is (920) 324-5581.

What is Mark Kernan's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Kernan was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.