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

Mackenzie Mollomo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992424485

Mackenzie Mollomo is a Certified Registered Nurse Anesthetist (CRNA) in Johnstown, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Grove City Anesthesia and Pain Management, PLLC, a 60-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1086 Franklin St
Johnstown, PA 15905-4305
Phone: (814) 534-9000
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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 RN670769 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992424485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2022
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022
Mailing address259 Carey Ln, Ligonier, PA 15658-7405

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 Grove City Anesthesia And Pain Management, Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnstown