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THERESA GRACE MCKENZIE FNP
NPI 1154106672
Nurse Practitioner - Family in Scarborough, ME

Active since August 31, 2023PECOS EnrolledAccepts Medicare Assignment
300 PROFESSIONAL DR STE 2C, SCARBOROUGH, ME 04074(207) 883-7926 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa Grace Mckenzie Fnp NPPES

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

THERESA GRACE MCKENZIE FNP (NPI 1154106672) is an individual family provider in Scarborough, Maine, licensed in Maine (CNP231350) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154106672
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA GRACE MCKENZIECredential: FNP
Location Address300 PROFESSIONAL DR STE 2CScarborough, ME 04074-8897
Mailing Address74 Pool StBiddeford, ME 04005-4501
Phone(207) 883-7926
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1154106672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP231350
300 PROFESSIONAL DR STE 2C, Scarborough, ME 04074
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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 and accepts Medicare assignment

Theresa Grace Mckenzie Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890147169
PECOS Enrollment IDI20240123001285
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services69 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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

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

MR. GAVIN M DUCKER MD
Family Medicine
300 PROFESSIONAL DR STE 2C
SCARBOROUGH, ME 04074
Cumberland County (207) 883-7926

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 Theresa Mckenzie's NPI number?

The NPI number for Theresa Mckenzie is 1154106672. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Theresa Mckenzie located?

Theresa Mckenzie practices at 300 Professional Dr Ste 2C, Scarborough, ME 04074. The listed phone number is (207) 883-7926.

What is Theresa Mckenzie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Mckenzie enrolled in Medicare?

Yes. Theresa Mckenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theresa Mckenzie affiliated with any hospitals?

According to CMS data, Theresa Mckenzie is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Mckenzie was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.