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

Mackenzie Martin, CRNA

Individual provider Registered Nurse · NPI 1306586698

Mackenzie Martin, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lexington, Kentucky. Qualified in 2022, 4 years ago. Practices with Triangle Anesthesia Group, PSC, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and West Virginia.

Years since qualifying
4
Licensed in
KY, WV
In the registry since
2022
Specialties on file
2
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

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone: (859) 268-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Angus E Peyton Dr, South Charleston, WV 25303-1600 — (304) 746-2500

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3017780 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 93493 (WV)

Record details

NPI number1306586698
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 12, 2022
Mailing address381 Rocklick Branch Rd, Chapmanville, WV 25508-7651

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Triangle Anesthesia Group, Psc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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