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

McKenzie Louis Samuelson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1932831716

McKenzie Louis Samuelson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dallas, Texas. Qualified in 2023, 3 years ago. Practices with Northstar Anesthesia PA, a 237-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Texas and Wisconsin.

Years since qualifying
3
Licensed in
MA, TX, WI
In the registry since
2022
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

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
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 1210439 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 15894 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN2341474 (MA)

Record details

NPI number1932831716
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northstar Anesthesia Pa — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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