JOSHUA MICHAEL KENZIE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1477072247

JOSHUA MICHAEL KENZIE (CRNA) is a healthcare provider. based in Plymouth, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 117853 (MN). The NPI Number for JOSHUA MICHAEL KENZIE (CRNA) is 1477072247

Main info

Male
9 Years Of Experience
Name
JOSHUA MICHAEL KENZIE (CRNA)
NPI
1477072247
Phone
(763) 852-0435
Address
PO BOX 47159
Enumeration Date
13 September 2017
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7636897700
Graduation Year
2017 (9 years ago)
PAC ID
3577820992
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20171120002114
Address ID
MN550081920CA701XXSXXX400

Contacts

Secure Messaging
jkenzie658591@direct.centracare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for JOSHUA MICHAEL KENZIE (CRNA)

  • The Box, Tavistock Place, Barbican, Plymouth, South West England, England, PL4 8AU, United Kingdom

    PLYMOUTH, MN 55447

    Phone: (763) 852-0435

    Type: Mailing

  • 28th Avenue North, Plymouth, Hennepin County, Minnesota, 55446:55447, United States

    PLYMOUTH, MN 554474876

    Phone: (763) 852-0435

    Fax: (763) 450-3986

    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: 2017-11-20

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
I20171120002114ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
00142Anesthesia for lens surgery1313$0
View full utilization report →

Insurance plans in this area (ZIP 55447)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JOSHUA MICHAEL KENZIE (CRNA) for billing?
Administrative and clinical systems typically use NPI 1477072247 for JOSHUA MICHAEL KENZIE (CRNA).
Should I treat JOSHUA MICHAEL KENZIE (CRNA) as an active provider?
Patients and plans typically see JOSHUA MICHAEL KENZIE (CRNA) as active in the national extract.
What type of care does JOSHUA MICHAEL KENZIE (CRNA) provide?
JOSHUA MICHAEL KENZIE (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOSHUA MICHAEL KENZIE (CRNA)?
JOSHUA MICHAEL KENZIE (CRNA) is associated with Plymouth, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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