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

Mikelle Jenee Adamczyk, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1053580936

Mikelle Jenee Adamczyk, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Oregon.

Years since qualifying
10
Licensed in
MI, OR
In the registry since
2008
Specialties on file
2
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-4661
Show map & directions

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

Additional practice locations (1)

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 — (248) 849-5806

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 201900978CRNA (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4704217848 (MI)

Record details

NPI number1053580936
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 26, 2008
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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