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THOMAS E MCKENZIE CRNA
NPI 1629050448
Nurse Anesthetist, Certified Registered in Marquette, MI

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
580 W COLLEGE AVE, MARQUETTE, MI 49855(906) 225-3406(906) 225-3094 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas E Mckenzie Crna NPPES

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

THOMAS E MCKENZIE CRNA (NPI 1629050448) is an individual nurse anesthetist, certified registered in Marquette, Michigan, licensed in Michigan (4704207439) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Aspirus Medford Hospital & Clinics, Inc, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629050448
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS E MCKENZIECredential: CRNA
Location Address580 W COLLEGE AVEMarquette, MI 49855-2705
Mailing Address761 County Road 545 NSkandia, MI 49885-9583 · (906) 942-7003
Phone(906) 225-3406
Fax(906) 225-3094
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 17, 2005
Last NPPES UpdateApril 25, 2008
✔ NPI 1629050448 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 MI · 4704207439
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.
580 W COLLEGE AVE, Marquette, MI 49855
Open in Google Maps ↗

Other Identifiers 4

Medicare PINE26018024MI
Medicaid104593293MI
OtherTM207439MI · Blueshield Pin
OtherP00237828MI · Railroad Medicare Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas E Mckenzie 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 ID5597756841
PECOS Enrollment IDI20200817002245
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Thomas Mckenzie reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Shore Anesthesia Staffing
0.8 mi
Nurse Anesthetist, Certified Registered
1414 W FAIR AVE STE 235
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1013525112 (906) 361-4901
Acquisition Bell Hospital LLC
14 mi
Critical Access
901 LAKESHORE DR
Ishpeming, MI 49849
  • Reassigned Medicare billing, Michigan enrollment
  • 61 clinicians in this Medicare group
NPI 1699101345 (906) 486-4431
Aspirus Ironwood Hospital & Clinics Inc.
67 mi
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 244 clinicians in this Medicare group
NPI 1073293999 (906) 265-9931
Aspirus Ironwood Hospital & Clinics Inc.
67 mi
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 264 clinicians in this Medicare group
NPI 1073293999 (906) 265-9931
Aspirus Medford Hospital & Clinics, Inc.
155 mi
Rural Health
1511 RAILROAD AVE
Prentice, WI 54556
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1710066584 (715) 428-2521

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.

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

PAMELA JEAN ROOSE REGISTERED DIETITIAN
Dietitian, Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3221
DR. BRIAN JON MACFALDA DO, MBA
Psychiatry & Neurology (Neurology)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3939
DLP MARQUETTE PHYSICIAN PRACTICES INC
Physical Medicine & Rehabilitation
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3993
SANDRA L WACHTER CRNA
Nurse Anesthetist, Certified Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3406
DR. PRAKASH R DHADPHALE M.D.
Anesthesiology
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 226-2569
ROBERT A MELLIN M ED LPC CSW CACII
Counselor (Addiction (Substance Use Disorder))
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3985
DR. TYANNE LEE DOSH M.D., M.S.
Psychiatry & Neurology (Psychiatry)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3895
MR. ANDREW GERARD BOUDREAU N.P.
Nurse Practitioner
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-4531

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 Thomas Mckenzie's NPI number?

The NPI number for Thomas Mckenzie is 1629050448. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Thomas Mckenzie located?

Thomas Mckenzie practices at 580 W College Ave, Marquette, MI 49855. The listed phone number is (906) 225-3406.

What is Thomas Mckenzie's specialty?

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

Is Thomas Mckenzie enrolled in Medicare?

Yes. Thomas Mckenzie 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.

Which organizations bill Medicare for Thomas Mckenzie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mckenzie reassigns Medicare benefits to 5 organizations: South Shore Anesthesia Staffing (Marquette, MI), Acquisition Bell Hospital LLC (Ishpeming, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI) and Aspirus Medford Hospital & Clinics, Inc. (Prentice, WI). 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 Thomas Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Mckenzie affiliated with any hospitals?

According to CMS data, Thomas Mckenzie is affiliated with Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Mckenzie was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.