Mekenzie Spencer Johnston Kmack, CRNA
NPI 1275821316ActiveIndividual· Nurse Anesthetist, Certified Registered· Newport, OR
Nurse Anesthetist, Certified Registered (CRNA) with Pacific County Hospital District 2 and 1 other group, practicing in Newport, Oregon. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Kittitas Valley Community Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1275821316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jul 11, 2011 |
| Last updated in NPPES | Mar 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | D127901 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Pacific County Hospital District 2South Bend, WA · 31 clinicians
- Evergreen Anesthesia Associates LLCSunnyside, WA · 27 clinicians
Hospital affiliations
- Kittitas Valley Community HospitalEllensburg, WA
- Willapa Harbor HospitalSouth Bend, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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