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

Individual provider Certified Registered Nurse Anesthetist · NPI 1629503701

Mackenzie Miller, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with South County Anesthesia Associates Ltd, a 81-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
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

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (636) 386-3722
Fax: (636) 200-4036
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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 2017012727 (MO)

Record details

NPI number1629503701
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 26, 2017
Last updated in NPPESMay 1, 2017

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 South County Anesthesia Associates Ltd — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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