MACKENZIE MILLER CRNA
NPI 1629503701
Nurse Anesthetist, Certified Registered in Saint Louis, MO
About Mackenzie Miller Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE MILLER CRNA (NPI 1629503701) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2017012727) and active in the NPI registry since April 2017. She is affiliated with Mercy Hospital South and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mackenzie Miller 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mackenzie Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 106 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 221 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital South
Acute Care Hospitals · Saint Louis, MOSsm St Clare Health Center
Acute Care Hospitals · Fenton, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 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.
SAINT LOUIS, MO 63128
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 Mackenzie Miller's NPI number?
The NPI number for Mackenzie Miller is 1629503701. It was assigned to this individual provider in the NPPES registry on April 26, 2017.
Where is Mackenzie Miller located?
Mackenzie Miller practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (636) 386-3722.
What is Mackenzie Miller's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mackenzie Miller enrolled in Medicare?
Yes. Mackenzie Miller 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 Mackenzie Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Miller reassigns Medicare benefits to 2 organizations: South County Anesthesia Associates, Ltd. (Saint Louis, MO) and Metro-West Anesthesia Group Inc (Chesterfield, MO). 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 Mackenzie Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Miller accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Mackenzie Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mackenzie Miller affiliated with any hospitals?
According to CMS data, Mackenzie Miller is affiliated with Mercy Hospital South and Ssm St Clare Health Center.
When was this NPI record last updated?
The NPPES record for Mackenzie Miller was last updated on May 1, 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.
# Mackenzie Miller, CRNA · NPI 1629503701
Nurse Anesthetist, Certified Registered physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 26, 2017.
## Identity
- **NPI:** 1629503701 (Entity type: Individual)
- **Enumerated:** April 26, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2017012727 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10010 KENNERLY RD, Saint Louis, MO 63128-2106
- **Phone:** (636) 386-3722 · **Fax:** (636) 200-4036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South County Anesthesia Associates, Ltd. (NPI 1821031659, Saint Louis, MO); Metro-West Anesthesia Group Inc (NPI 1245427335, Chesterfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 1, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1629503701) · Data from the CMS NPPES public registry.