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

Mark J. Kernan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1609953157

Mark J. Kernan, CRNA is a Certified Registered Nurse Anesthetist in Waupun, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

620 W Brown St
Waupun, WI 53963-1702
Phone: (920) 324-5581
Fax: (920) 926-8370
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 029908 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 138 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 111617 (WI)

Record details

NPI number1609953157
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESApril 11, 2017
Mailing address420 E Division St, Fond Du Lac, WI 54935-4560

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