MCKENZIE ANN MCDONOUGH NP
NPI 1619579216
Nurse Practitioner in Phoenix, AZ

Q: What is Mckenzie Mcdonough's NPI number?

The NPI number for Mckenzie Mcdonough is 1619579216. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Q: What is Mckenzie Mcdonough's specialty?

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

Active since November 10, 2020PECOS EnrolledAccepts Medicare Assignment

8410 W THOMAS RD STE 134, PHOENIX, AZ 85037(480) 821-3600 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mckenzie Ann Mcdonough Np NPPES

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

MCKENZIE ANN MCDONOUGH NP (NPI 1619579216) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (248987) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2020).

NPPES Registry Identity

NPI1619579216

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMCKENZIE ANN MCDONOUGHCredential: NP

Location Address8410 W THOMAS RD STE 134Phoenix, AZ 85037-3374

Mailing AddressPo Box 6730Chandler, AZ 85246-6730 · (480) 821-3600

Phone(480) 821-3600

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2020

Enumeration DateNovember 10, 2020

NPPES CertifiedNovember 10, 2020

✔ NPI 1619579216 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 AZ · 248987

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.

8410 W THOMAS RD STE 134, Phoenix, AZ 85037

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., UnitedHealthcare.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

Mckenzie Ann Mcdonough Np 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 ID4284047713

PECOS Enrollment IDI20201230001374

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 85037 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALLA CARLTON CNM

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