Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob McKenzie

Individual provider Certified Registered Nurse Anesthetist · NPI 1912409624

Jacob McKenzie is a Certified Registered Nurse Anesthetist (CRNA) in Huntington, West Virginia. Qualified in 2018, 8 years ago. Practices with Northstar Anesthesia of West Virginia PLLC, a 124-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
8
Licensed in
WV
In the registry since
2018
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Practice location Address checks out

1340 Hal Greer Blvd
Huntington, WV 25701
Phone: (304) 638-9517
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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 APRN79908CRNA (WV)

Record details

NPI number1912409624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESJuly 4, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northstar Anesthesia Of West Virginia Pllc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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