MACKENZIE HARTMANN NP
NPI 1164904066
Nurse Practitioner in Vestal, NY

Q: What is Mackenzie Hartmann's NPI number?

The NPI number for Mackenzie Hartmann is 1164904066. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Q: What is Mackenzie Hartmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Mackenzie Hartmann enrolled in Medicare?

No. Mackenzie Hartmann has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since September 06, 2018Opted out of Medicare · through Apr 25, 2028

4417 VESTAL PKWY E, VESTAL, NY 13850(607) 770-7635(607) 729-5882 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mackenzie Hartmann Np NPPES

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

MACKENZIE HARTMANN NP (NPI 1164904066) is an individual nurse practitioner in Vestal, New York, licensed in New York (343253) and active in the NPI registry since September 2018. She has opted out of Medicare through April 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164904066

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMACKENZIE HARTMANNCredential: NP

Location Address4417 VESTAL PKWY EVestal, NY 13850-3556

Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 729-8156 · Fax (607) 729-3982

Phone(607) 770-7635

Fax(607) 729-5882

Sole ProprietorNo

Enumeration DateSeptember 6, 2018

✔ NPI 1164904066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 343253

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4417 VESTAL PKWY E, Vestal, NY 13850

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mackenzie Hartmann Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2022 through April 25, 2028.

Opt-Out Effective DateApril 25, 2022

Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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