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

Mackenzie Norconk

Individual provider Certified Registered Nurse Anesthetist · NPI 1194697672

Mackenzie Norconk is a Certified Registered Nurse Anesthetist (CRNA) in Grand Rapids, Michigan. Qualified in 2025, 1 year ago. Practices with Saint Mary's Health Services, a 177-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 685-5000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704432585 (MI)

Record details

NPI number1194697672
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Mary'S Health Services — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids