SAMANTHA MEDKIFF (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194457952

SAMANTHA MEDKIFF (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 884678 (TX). The NPI Number for SAMANTHA MEDKIFF (CRNA) is 1194457952

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MEDKIFF (CRNA)
NPI
1194457952
Phone
(800) 516-5315
Address
255 W MICHGIAN AVE
Enumeration Date
29 June 2022
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032151111
Graduation Year
2022 (4 years ago)
PAC ID
4587039862
Group Practice PAC ID
6800240102
Professional Enrollment ID
I20230419001690
Address ID
OR972132933PO4805XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for SAMANTHA MEDKIFF (CRNA)

  • 255 W MICHGIAN AVE

    JACKSON, MI 49201

    Phone: (800) 516-5315

    Type: Mailing

  • 875 OAK ST SE STE 3095

    SALEM, OR 973013854

    Phone: (503) 561-8170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-04-19

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
I20230419001690ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 surgery116100$0
00811Anesthesia for other procedure on large bowel using an endoscope6161$0
00812Anesthesia for exam of colon using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 6800240102View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Anesthesiology, Critical Care (Intensivists)OR
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YOR
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)OR
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)OR
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKY

Reviews

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Frequently asked questions

Can I cross-check SAMANTHA MEDKIFF (CRNA) using NPI 1194457952?
NPI 1194457952 belongs to SAMANTHA MEDKIFF (CRNA); compare other details if you need extra assurance.
Is SAMANTHA MEDKIFF (CRNA) shown as active in public data?
Registry records indicate SAMANTHA MEDKIFF (CRNA) maintains an active NPI.
What clinical focus is listed for SAMANTHA MEDKIFF (CRNA)?
At a glance, SAMANTHA MEDKIFF (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with SAMANTHA MEDKIFF (CRNA)?
Directory geography for SAMANTHA MEDKIFF (CRNA) centers on Jackson, Michigan.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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