MACKENZIE NICOLE DOCHERTY AGACNP-BC
NPI 1346178217
Nurse Practitioner - Gerontology in Stuart, FL

Q: What is Mackenzie Docherty's NPI number?

The NPI number for Mackenzie Docherty is 1346178217. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Q: What is Mackenzie Docherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since May 11, 2026PECOS Enrolled

200 SE HOSPITAL AVE, STUART, FL 34994(772) 287-5200 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Mackenzie Nicole Docherty Agacnp-bc NPPES

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

MACKENZIE NICOLE DOCHERTY AGACNP-BC (NPI 1346178217) is an individual gerontology provider in Stuart, Florida, licensed in Florida (APRN11047474) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port St Lucie, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1346178217

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMACKENZIE NICOLE DOCHERTYCredential: AGACNP-BC

Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346

Mailing Address10000 Sw Innovation WayPort St Lucie, FL 34987-2111

Phone(772) 287-5200

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 11, 2026

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1346178217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11047474

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License APRN11047474 (FL)

200 SE HOSPITAL AVE, Stuart, FL 34994

Open in Google Maps ↗

Secondary Practice Location 1

Location 110000 SW Innovation WayPort St Lucie, FL 34987-2111 · Phone (772) 345-8100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Nicole Docherty Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688146103

PECOS Enrollment IDI20260616002838

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 34994 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

DR. ALEXANDER USOROV MD

Internal Medicine (Nephrology)