McKenzie Louis Samuelson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1210439 Issued in TX

Practice address

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Phone

(972) 715-5000

Fax

(972) 715-9976

NPI assigned

Jun 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, WI, VT, TX4 enrollments

Enrollment records 4

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians

Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians

The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospital at Westlake Medical Center Hospital, Austin, TX, CCN 670006
• Copley Hospital Hospital, Morrisville, VT, CCN 471305
• Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Merit-based Incentive Payment System (MIPS)

Final score

86.65 of 100Reported as group

Quality

88.12

Promoting interoperability

71

Improvement activities

40

Cost

77.69

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Independent Physicians Network PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1396274676
  Medicare reassignment Care Compare group NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  Medicare reassignment Care Compare group
• U. S. Anesthesia Partners of Texas, P.a.,

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Aurora Medical Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Milwaukee, WI
  • NPI 1427271378

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coastal Medical Associates

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1932175684

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1568414365
  Medicare reassignment NPD
• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1922029784
  Medicare reassignment NPD
• New England Eye Surgical Assoc

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1760449979
  Medicare reassignment NPD
• U S Anesthesia Partners of Texas, PA

  • Interventional Pain Medicine Physician
  • Addison, TX
  • NPI 1053800391

  Nurse Anesthetist, Certified Registered

  NPD
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD
• Copley Hospital Inc

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1588683544
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westlake Surgical, L.P.

  • General Acute Care Hospital
  • West Lake Hills, TX
  • NPI 1043328198
  Care Compare affiliation
• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1568414365
  Care Compare affiliation
• Froedtert Memorial Lutheran Hospital, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1255334173
  Care Compare affiliation

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1932831716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 RIVERVIEW RNCH",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774227937",
            "telephone_number": "616-240-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "MCKENZIE",
        "middle_name": "LOUIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "15894",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1210439",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2341474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932831716",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siji Samuel, ANP
• Simi Mariam Samuel, NP
• Susamma Samuel
• Danielle Nicole Samuelson, LM, CPM
• Eric Michael Samuelson, MD
• Robert J Samuelson, M.D.
• Nikitha N Samy, MD
• James John San Filippo Jr., M.S., LPC
• Sana Healthcare Hospice, Inc.
• Sana Healthcare, Inc.

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.