MELISSA DIANA MCKENZIE CPNP
NPI 1407050164
Nurse Practitioner - Pediatrics in Calais, ME

Active since June 14, 2007
37 PALMER ST STE 1, CALAIS, ME 04619(207) 454-7521(207) 454-3616 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Melissa Diana Mckenzie Cpnp NPPES

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

MELISSA DIANA MCKENZIE CPNP (NPI 1407050164) is an individual pediatrics provider in Calais, Maine, licensed in Maine (CNP201420) and active in the NPI registry since June 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407050164
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMELISSA DIANA MCKENZIECredential: CPNP
Location Address37 PALMER ST STE 1Calais, ME 04619-1341
Mailing Address424 Woodlawn RdGreenwood, SC 29646-9163 · (828) 244-8380
Fax(207) 454-3616
Sole ProprietorNo
Enumeration DateJune 14, 2007
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1407050164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in ME · CNP201420 Licensed in SC · 3247 Licensed in NC · 5003497
37 PALMER ST STE 1, Calais, ME 04619

Other Names 1

Former Name (1)Melissa Diana Morris

Secondary Practice Locations 2

Location 13411 Graystone Pl SEConover, NC 28613-8200 · Phone (828) 328-1118 · Fax (828) 328-1119
Location 2407 W South StUnion, SC 29379-2771 · Phone (864) 429-8846 · Fax (864) 429-9093

Other Identifiers 2

OtherSCL446H895SC · Medicare Pin
MedicaidNP3680SC

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 Melissa Mckenzie's NPI number?

The NPI number for Melissa Mckenzie is 1407050164. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Melissa Diana Morris.

Where is Melissa Mckenzie located?

Melissa Mckenzie practices at 37 Palmer St Ste 1, Calais, ME 04619. The listed phone number is (207) 454-7521.

What is Melissa Mckenzie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Melissa Mckenzie was last updated on December 1, 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.