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MCKENZIE BRUBAKER FNP
NPI 1407690282
Nurse Practitioner - Family in Pulaski, NY

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
61 DELANO ST, PULASKI, NY 13142(315) 298-6564(315) 298-3968 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Jun 25, 2024 (2 updates tracked since 2024).

About Mckenzie Brubaker Fnp NPPES

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

MCKENZIE BRUBAKER FNP (NPI 1407690282) is an individual family provider in Pulaski, New York, licensed in New York (354357) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1407690282
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKENZIE BRUBAKERCredential: FNP
Location Address61 DELANO STPulaski, NY 13142-1400
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564 · Fax (315) 298-3968
Phone(315) 298-6564
Fax(315) 298-3968
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 25, 2024
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1407690282 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 NY · 354357
61 DELANO ST, Pulaski, NY 13142
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1510 S 4th St Ste 600Fulton, NY 13069-2952 · Phone (315) 598-4790 · Fax (315) 593-6195
Location 210 Carlton DrParish, NY 13131-3308 · Phone (315) 625-4388 · Fax (315) 625-4535
Location 37 Bridge StPhoenix, NY 13135-1906 · Phone (315) 695-4700 · Fax (315) 695-4706
Location 45856 Scenic AveMexico, NY 13114-3012 · Phone (315) 963-4133 · Fax (315) 963-4960
Location 53045 East Ave Ste G400Central Square, NY 13036-2611 · Phone (315) 675-9200 · Fax (315) 630-3168
Location 6120 E 1st StOswego, NY 13126-2111 · Phone (315) 342-0880 · Fax (315) 593-6195

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

Mckenzie Brubaker 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 ID6103365762
PECOS Enrollment IDI20240827002298
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.

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13142 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.

CAITLIN TAYLOR CORRICE PT
Physical Therapist (Orthopedic)
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-4274
JENNIFER L MCGREW RN
Registered Nurse
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6564
VALERIE E GRAF RDH
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6815
JESSICA J OVERTON RDH
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6815
SARAH L ODDO PA
Physician Assistant
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 342-0880
NORTHERN OSWEGO COUNTY HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6564
CAMILLA J LYNDAKER RDH
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6815
BETSY B WATERMAN PHD
Medical Genetics, Ph.D. Medical Genetics
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6569

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 Mckenzie Brubaker's NPI number?

The NPI number for Mckenzie Brubaker is 1407690282. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Mckenzie Brubaker located?

Mckenzie Brubaker practices at 61 Delano St, Pulaski, NY 13142. The listed phone number is (315) 298-6564.

What is Mckenzie Brubaker's specialty?

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

Is Mckenzie Brubaker enrolled in Medicare?

Yes. Mckenzie Brubaker 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 Mckenzie Brubaker affiliated with any hospitals?

According to CMS data, Mckenzie Brubaker is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Mckenzie Brubaker was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.