MACKENZIE NICOLE STUTZMAN CNP
NPI 1356955181
Nurse Practitioner in Montgomery, OH

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
10506 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-2227(513) 865-5552 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2021, Nov 9, 2020, Sep 2, 2020 (3 updates tracked since 2020).

About Mackenzie Nicole Stutzman Cnp NPPES

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

MACKENZIE NICOLE STUTZMAN CNP (NPI 1356955181) is an individual nurse practitioner in Montgomery, Ohio, licensed in Massachusetts (RN2357906) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356955181
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMACKENZIE NICOLE STUTZMANCredential: CNP
Location Address10506 MONTGOMERY RDMontgomery, OH 45242-4487
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-8000
Fax(513) 865-5552
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2020
Last NPPES UpdateNovember 18, 20213 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1356955181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN2357906
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.0026900 (OH)
10506 MONTGOMERY RD, Montgomery, OH 45242

Secondary Practice Locations 2

Location 110500 Montgomery RdMontgomery, OH 45242-4402 · Phone (513) 865-1111
Location 241 Mall RdBurlington, MA 01805-4487 · Phone (781) 744-8000

Other Identifiers 1

Medicaid2565399OH

Accepted Insurance

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

Mackenzie Nicole Stutzman Cnp 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 ID3375953078
PECOS Enrollment IDI20240605003836
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services32 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
10506 MONTGOMERY RD
MONTGOMERY, OH 45242
Surgery
10506 MONTGOMERY RD
CINCINNATI, OH 45242
Dentist (Oral and Maxillofacial Surgery)
10506 MONTGOMERY RD, SUITE 203
CINCINNATI, OH 45242
Specialist
10506 MONTGOMERY RD, SUITE G102
CINCINNATI, OH 45242
Emergency Medicine
10506 MONTGOMERY RD, SUITE 209
CINCINNATI, OH 45242
Dentist (Oral and Maxillofacial Surgery)
10506 MONTGOMERY RD, SUITE 203
CINCINNATI, OH 45242
Physician Assistant
10506 MONTGOMERY RD
MONTGOMERY, OH 45242
Emergency Medicine
10506 MONTGOMERY RD, SUITE 209
CINCINNATI, OH 45242

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 Mackenzie Stutzman's NPI number?

The NPI number for Mackenzie Stutzman is 1356955181. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Mackenzie Stutzman located?

Mackenzie Stutzman practices at 10506 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-2227.

What is Mackenzie Stutzman's specialty?

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

Is Mackenzie Stutzman enrolled in Medicare?

Yes. Mackenzie Stutzman 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.

What insurance does Mackenzie Stutzman accept?

Health plans from CareSource and Medica list Mackenzie Stutzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mackenzie Stutzman affiliated with any hospitals?

According to CMS data, Mackenzie Stutzman is affiliated with The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Mackenzie Stutzman was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.