MACKENZEE DERRICK AGACNP-BC
NPI 1821576406
Nurse Practitioner in Wauwatosa, WI
About Mackenzee Derrick Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZEE DERRICK AGACNP-BC (NPI 1821576406) is an individual nurse practitioner in Wauwatosa, Wisconsin, licensed in Wisconsin (8553) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with West Allis Memorial Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
(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.
Other Names 1
Other Identifiers 1
Accepted 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
Mackenzee Derrick Agacnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Allis Memorial Hospital
Acute Care Hospitals · West Allis, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WAUWATOSA, WI 53222
WAUWATOSA, WI 53222
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 Mackenzee Derrick's NPI number?
The NPI number for Mackenzee Derrick is 1821576406. It was assigned to this individual provider in the NPPES registry on August 5, 2018.
Where is Mackenzee Derrick located?
Mackenzee Derrick practices at 3289 N Mayfair Rd, Wauwatosa, WI 53222. The listed phone number is (414) 771-7900.
What is Mackenzee Derrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mackenzee Derrick enrolled in Medicare?
Yes. Mackenzee Derrick 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.
What insurance does Mackenzee Derrick accept?
Health plans from CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Mackenzee Derrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mackenzee Derrick affiliated with any hospitals?
According to CMS data, Mackenzee Derrick is affiliated with West Allis Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mackenzee Derrick was last updated on January 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
