Mekenzie Spencer Johnston Kmack, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Newport, OR

  1. Home
  2. Nurse Anesthetist - CR
  3. OR
  4. Newport
Mekenzie Spencer Johnston Kmack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newport, Oregon. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Evergreen Anesthesia Associates Llc, Pacific County Hospital District 2 and her current practice location is 930 Sw Abbey St, Newport, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 265-2244.

Mekenzie Spencer Johnston Kmack is licensed to practice in Iowa (license number D127901) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275821316.

Contact Information

Mekenzie Spencer Johnston Kmack, CRNA
930 Sw Abbey St,
Newport, OR 97365-4820
(541) 265-2244
(541) 574-1838

Map and Direction




Provider's Profile

Full NameMekenzie Spencer Johnston Kmack
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location930 Sw Abbey St, Newport, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mekenzie Spencer Johnston Kmack graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1275821316
  • Provider Enumeration Date: 07/11/2011
  • Last Update Date: 03/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537339379
  • Enrollment ID: I20150114000420

Medical Identifiers

Medical identifiers for Mekenzie Spencer Johnston Kmack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275821316NPI-NPPES
500649068MedicaidOR
127901OtherIARN
D-127901OtherIAARNP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered D127901 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kittitas Valley Community HospitalEllensburg, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evergreen Anesthesia Associates Llc711328453023
Pacific County Hospital District 2822493930122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mekenzie Spencer Johnston Kmack allows following entities to bill medicare on her behalf.
Entity NamePacific County Hospital District 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295708683
PECOS PAC ID: 8224939301
Enrollment ID: O20040120000991
Entity NamePublic Hospital District No. 2, Klickitat County, Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952483653
PECOS PAC ID: 4981592144
Enrollment ID: O20040309000490
Entity NamePublic Hospital District No. 2, Klickitat County, Washington
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1760455687
PECOS PAC ID: 4981592144
Enrollment ID: O20071220000444
Entity NameEvergreen Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225575996
PECOS PAC ID: 7113284530
Enrollment ID: O20171120002054

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mekenzie Spencer Johnston Kmack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mekenzie Spencer Johnston Kmack, CRNA
313 Se 116th St,
South Beach, OR 97366-9729

Ph: (206) 399-3404		Mekenzie Spencer Johnston Kmack, CRNA
930 Sw Abbey St,
Newport, OR 97365-4820

Ph: (541) 265-2244

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Newport, OR

Cameron Mcguire, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    
Mr. Brent D. Bunker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    Fax: 541-574-1838
Angel Sidell, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    
Ms. Julie L Carozza, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    
Ms. Cynthia A. Jacobi, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 930 Sw Abbey Street, Newport, OR 97365
Phone: 541-265-2244    Fax: 541-574-1838
Ronald D Gilliam, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 208-484-2193    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.