Individual provider Active NPI

Karen Lee Mackenney, RN, FNP

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1003014366
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
564482 Issued in TX
Practice address
135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone
(281) 404-3000
Fax
(281) 290-9824
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 564482 TX Primary

Addresses

Primary practice location

135 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 404-3000

Other identifiers 1

IdentifierTypeStateIssuer
206017002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000462 TX Practitioner - Nurse Practitioner 8123179314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physicians Association PLLC CurrentSince Nov 14, 2022 Accepting new patients
Millennium Physicians Association, PLLC CurrentSince Nov 14, 2022 Accepting new patients
Northwoods Urology Association Past Accepting new patients
Northwoods Urology Association Past Accepting new patients

Locations

506 Medical Center Blvd
Ste 304
Conroe, TX 77304
Phone (855) 259-2872

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000

9319 Pinecroft Dr
Ste 100
The Woodlands, TX 77380

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: karen.mackenney.p1@direct.mphcc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1003014366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-404-3000",
            "fax_number": "281-290-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-404-3000",
            "fax_number": "281-290-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENNEY",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "564482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206017002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.