SHATEEK MCKENZIE CNP
NPI 1629601661
Nurse Practitioner - Family in Maumee, OH

Q: What is Shateek Mckenzie's NPI number?

The NPI number for Shateek Mckenzie is 1629601661. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Q: What is Shateek Mckenzie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shateek Mckenzie was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 18, 2020PECOS Enrolled

5901 MONCLOVA RD, MAUMEE, OH 43537(419) 893-5411 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2023, Feb 18, 2020 (2 updates tracked since 2020).

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About Shateek Mckenzie Cnp NPPES

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

SHATEEK MCKENZIE CNP (NPI 1629601661) is an individual family provider in Maumee, Ohio, licensed in Ohio (APRN.CNP.0027214) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629601661

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHATEEK MCKENZIECredential: CNP

Location Address5901 MONCLOVA RDMaumee, OH 43537-1841

Mailing AddressP.o Box 910, Lot 1503Columbus, OH 43216 · (419) 380-7176

Phone(419) 893-5411

Sole ProprietorNo

Enumeration DateFebruary 18, 2020

Last NPPES UpdateMay 23, 20232 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1629601661 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 OH · APRN.CNP.0027214

5901 MONCLOVA RD, Maumee, OH 43537

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shateek Mckenzie Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 43537 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.

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.

MICHAEL L. KOLTZ MD

Emergency Medicine