Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mekenzie Spencer Johnston Kmack, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1275821316

Mekenzie Spencer Johnston Kmack, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Newport, Oregon. Qualified in 2011, 15 years ago. Practices with Evergreen Anesthesia Associates LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
15
Licensed in
IA
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

930 SW Abbey St
Newport, OR 97365-4820 Not confirmed with CMS for 10 years — call before visiting
Phone: (541) 265-2244
Fax: (541) 574-1838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence D127901 (IA)

Record details

NPI number1275821316
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESMarch 15, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Evergreen Anesthesia Associates Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Evergreen Anesthesia Associates LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 26 clinicians in the practice; 12 are shown here.

Other providers in Newport