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

Joshua Michael Kenzie, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1477072247

Joshua Michael Kenzie, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Plymouth, Minnesota. Qualified in 2017, 9 years ago. Practices with Centracare Health System-Nr LLC, a 60-clinician group. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 852-0435
Fax: (763) 450-3986
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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 117853 (MN)

Record details

NPI number1477072247
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centracare Health System-Nr Llc — 60 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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