MCKENZIE KORI JEFFERSON FNP-C
NPI 1730865320
Nurse Practitioner - Family in Jacksonville, NC

Q: What is Mckenzie Jefferson's NPI number?

The NPI number for Mckenzie Jefferson is 1730865320. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Q: What is Mckenzie Jefferson's specialty?

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

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment

461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546(910) 333-0283(910) 333-0513 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mckenzie Kori Jefferson Fnp-c NPPES

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

MCKENZIE KORI JEFFERSON FNP-C (NPI 1730865320) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5021906) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730865320

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMCKENZIE KORI JEFFERSONCredential: FNP-C

Location Address461 WESTERN BLVD STE 122Jacksonville, NC 28546-7637

Mailing Address105 Waters LndgStafford, VA 22554-7833 · (706) 892-9740

Phone(910) 333-0283

Fax(910) 333-0513

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 27, 2023

Last NPPES UpdateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1730865320 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 NC · 5021906

461 WESTERN BLVD STE 122, Jacksonville, NC 28546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Kori Jefferson Fnp-c 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 ID1153832191

PECOS Enrollment IDI20250617000295

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 28546 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

MRS. ZOEY BARTON SHIFFLETT DNP, FNP-C

Nurse Practitioner (Family)