Individual provider Active NPI

Angela C. McKenzie, CRNA

  • Certified Registered Nurse Anesthetist
  • Des Moines, IA
National Provider Identifier
1457670317
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
114672 Issued in IA
Practice address
411 Laurel St
Suite 3170
Des Moines, IA 50314-3017
Phone
(515) 283-0463
NPI assigned
May 18, 2010
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 114672 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite 3170
Des Moines, IA 50314-3017

Mailing address

13935 Oak Brook Dr
Urbandale, IA 50323-2134
Phone (515) 314-5384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000717 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961697727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8297
Phone (515) 221-9222

Merit-based Incentive Payment System (MIPS)

Final score
67.35 of 100Reported as group
Quality
60.03
Improvement activities
40
Cost
64.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4208SCMDGeneral Practice Dentistry
114672IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Anesthesia & Pain Mngmt LLP CurrentSince Oct 1, 2025 Accepting new patients
Medical Center Anesthesiologists, P.C. CurrentSince Oct 6, 2019 Accepting new patients
Medical Center Anesthesiologists, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2010 Accepting new patients
Metro Anesthesia & Pain Mngmt LLP Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Sisters of Charity Providence Hospitals Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

411 Laurel St
Ste 3170
Des Moines, IA 50314
Phone (515) 283-0463

1225 Jordan Creek Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 283-0463

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

5901 Westown Pkwy
Ste 210
West Des Moines, IA 50266
Phone (515) 221-9222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1457670317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13935 OAK BROOK DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232134",
            "telephone_number": "515-314-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE 3170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-283-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ANGELA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "114672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.