MR. MICAH PEARCE MCKENZIE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891115697

MR. MICAH PEARCE MCKENZIE (CRNA) is a healthcare provider. based in Terre haute, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28213679A (IN). The NPI Number for MR. MICAH PEARCE MCKENZIE (CRNA) is 1891115697

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICAH PEARCE MCKENZIE (CRNA)
NPI
1891115697
Phone
(801) 884-3325
Address
4024 S WILLOWBROOK CT
Enumeration Date
18 April 2014
Last Update Date
14 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129346624
Graduation Year
2014 (12 years ago)
PAC ID
9436372885
Group Practice PAC ID
2062498140
Professional Enrollment ID
I20140603002100
Address ID
IN470068909BA321XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for MR. MICAH PEARCE MCKENZIE (CRNA)

  • 4024 S WILLOWBROOK CT

    TERRE HAUTE, IN 478028871

    Phone: (801) 884-3325

    Type: Mailing

  • 3901 S 7TH ST

    TERRE HAUTE, IN 478025709

    Phone: (727) 437-3530

    Fax: (727) 498-1159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($213).

Total Amount

$213

General + Research + Ownership

Payments

7

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140603002100ICertified Registered Nurse Anesthetist (Crna)INTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery310291$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch1815$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1511$0
00902Anesthesia for procedure on anus and rectum1313$0
00103Anesthesia for procedure on eyelid1212$0
View full utilization report →

Insurance plans in this area (ZIP 47802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062498140View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is there an official ID for MR. MICAH PEARCE MCKENZIE (CRNA) in U.S. healthcare records?
The official identifier for MR. MICAH PEARCE MCKENZIE (CRNA) is NPI 1891115697.
Is MR. MICAH PEARCE MCKENZIE (CRNA) still an active registrant?
MR. MICAH PEARCE MCKENZIE (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to MR. MICAH PEARCE MCKENZIE (CRNA)?
MR. MICAH PEARCE MCKENZIE (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. MICAH PEARCE MCKENZIE (CRNA) located near Terre Haute?
MR. MICAH PEARCE MCKENZIE (CRNA) currently maps to Terre Haute, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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