MCKENZIE LOUIS SAMUELSON CRNA
NPI 1932831716
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
12222 MERIT DR STE 600, DALLAS, TX 75251(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Mckenzie Louis Samuelson Crna NPPES

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

MCKENZIE LOUIS SAMUELSON CRNA (NPI 1932831716) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (1210439) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Copley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1932831716
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMCKENZIE LOUIS SAMUELSONCredential: CRNA
Location Address12222 MERIT DR STE 600Dallas, TX 75251-3294
Mailing Address1135 Riverview RnchBrazoria, TX 77422-7937 · (616) 240-7552
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2022
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1932831716 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
Licenses✔ Licensed in TX · 1210439✔ Licensed in WI · 15894✔ Licensed in MA · RN2341474
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.
12222 MERIT DR STE 600, Dallas, TX 75251

Other Identifiers 1

Medicaid1932831716WI

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

Mckenzie Louis Samuelson 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 ID6507224946
PECOS Enrollment IDI20251029002780, I20251031002714
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

9

Medicare enrollment records show Mckenzie Samuelson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3625 N HALL ST # 800
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 495 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group
Anesthesiology
1737 BRIARCREST DR STE 14
Bryan, TX 77802
  • Reassigned Medicare billing, Texas enrollment
  • 840 clinicians in this Medicare group
Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Critical Access
528 WASHINGTON HIGHWAY
Morrisville, VT 05661
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1295774842 (Vermont)
  • 88 clinicians in this Medicare group
Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group
Anesthesiology
696 MAIN ST
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 8 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
79 services76 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
12 services11 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
12 services12 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

The Hospital At Westlake Medical Center

Acute Care Hospitals · Austin, TX
OwnershipPhysician
CMS Certification Number670006
Location5656 Bee Caves Road, Suite M-302Austin, TX 78746 · Travis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251

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 Mckenzie Samuelson's NPI number?

The NPI number for Mckenzie Samuelson is 1932831716. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Mckenzie Samuelson located?

Mckenzie Samuelson practices at 12222 Merit Dr Ste 600, Dallas, TX 75251. The listed phone number is (972) 715-5000.

What is Mckenzie Samuelson's specialty?

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

Is Mckenzie Samuelson enrolled in Medicare?

Yes. Mckenzie Samuelson 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 Mckenzie Samuelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Samuelson reassigns Medicare benefits to 9 organizations: Independent Physicians Network PLLC (Dallas, TX), Northstar Anesthesia, PA (Arlington, TX), Austin Anesthesiology Group PLLC (Bryan, TX), U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX), Aurora Medical Group, Inc. (West Allis, WI) and 4 more organizations, 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 Mckenzie Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckenzie Samuelson accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Mckenzie Samuelson 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 Mckenzie Samuelson affiliated with any hospitals?

According to CMS data, Mckenzie Samuelson is affiliated with Copley Hospital and The Hospital At Westlake Medical Center.

When was this NPI record last updated?

The NPPES record for Mckenzie Samuelson was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.