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MRS. KERRY ALICIA MCKENZIE NURSE PRACTITIONER
NPI 1033898838
Nurse Practitioner - Primary Care in Saint Louis, MO

Active since July 18, 2023PECOS Enrolled
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125(314) 652-4100 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kerry Alicia Mckenzie Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KERRY ALICIA MCKENZIE NURSE PRACTITIONER (NPI 1033898838) is an individual primary care provider in Saint Louis, Missouri, licensed in Missouri (2023016833) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033898838
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KERRY ALICIA MCKENZIECredential: NURSE PRACTITIONER
Location Address1 JEFFERSON BARRACKS RDSaint Louis, MO 63125-4181
Mailing Address1 Jefferson Barracks DrSaint Louis, MO 63125-4181
Phone(314) 652-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1033898838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in MO · 2023016833✔ Licensed in IL · 209027653
1 JEFFERSON BARRACKS RD, Saint Louis, MO 63125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kerry Alicia Mckenzie Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567808074
PECOS Enrollment IDI20260220002461
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE LAZET DO
Family Medicine
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 894-6505
ELIZABETH RUSSELL
Pharmacist
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
RANDOLPH G LINDER MSW
Social Worker (Clinical)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-6598
ROLAND IRVIN NEAL PHYSICIAN ASSISTANT
Physician Assistant (Medical)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 845-5086
JESSE LOPEZ
Counselor (Addiction (Substance Use Disorder))
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 894-6598
ELIZABETH FERNANDO RN
Registered Nurse (Case Management)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 289-6654
TRACI R DOUTRE NBC-HWC
Health and Wellness Coach
1 JEFFERSON BARRACKS RD, WHOLE HEALTH DEPARTMENT
ST LOUIS, MO 63125
St. Louis County (314) 652-4100
MARTINA KATHLEEN RITCHHART PH.D.
Psychologist
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Mckenzie's NPI number?

The NPI number for Kerry Mckenzie is 1033898838. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Kerry Mckenzie located?

Kerry Mckenzie practices at 1 Jefferson Barracks Rd, Saint Louis, MO 63125. The listed phone number is (314) 652-4100.

What is Kerry Mckenzie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kerry Mckenzie enrolled in Medicare?

Yes. Kerry Mckenzie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Mckenzie was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.