Individual provider Active NPI

Hugh L.a McKenzie, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newburgh, NY
National Provider Identifier
1033354014
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401498 Issued in NY
Practice address
225 S Plank Rd Ste 2
Newburgh, NY 12550-2693
Phone
(845) 610-5198
Fax
(845) 259-1223
NPI assigned
Dec 5, 2008
Last updated
May 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401498 NY Primary
Registered Nurse 163W00000X 460673-1 NY

Addresses

Primary practice location

225 S Plank Rd Ste 2
Newburgh, NY 12550-2693

Mailing address

PO Box 2074
Monroe, NY 10949-8574
Phone (845) 610-5198

Other practice location 1

3 Winding Ln
Newburgh, NY 12550-2224
Phone (845) 610-5198

Other practice location 2

147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000

Other identifiers 1

IdentifierTypeStateIssuer
03722332MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20131030000194 NY Practitioner - Nurse Practitioner 6406081447 Reassigns benefits to 1 organization
Practice locations: Newburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Family HealthcareGroup PAC ID 4880610393, 67 clinicians

Practice addresses (Care Compare)

100 Broadway
Newburgh, NY 12550-5514
Phone (845) 569-8412

147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
460673-1NYMDRegistered Nurse
F401498NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Healthcare CurrentSince Oct 1, 2014 Accepting new patients
Hugh McKenzie PNP CurrentSince Aug 28, 2022 Accepting new patients
Cornerstone Family Healthcare CurrentSince Oct 1, 2014 Accepting new patients

Locations

2570 US Highway 9W
Ste 10
Cornwall, NY 12518
Phone (845) 220-3100

127 Main St
Highland Fls, NY 10928
Phone (845) 446-4040

10 Benton Ave
Middletown, NY 10940
Phone (845) 343-0881

14 Grove St
Middletown, NY 10940
Phone (845) 342-6601

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

147 Lake St
Newburgh, NY 12550

223 S Plank Rd
Newburgh, NY 12550
Phone (845) 220-2074

99 Cameron St
Pine Bush, NY 12566
Phone (845) 744-2067

140 Hammond St
Port Jervis, NY 12771
Phone (845) 858-2854

24 Old Fire House Rd
Wallkill, NY 12589
Phone (845) 393-6015

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCECD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1033354014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109498574",
            "telephone_number": "845-610-5198",
            "fax_number": "845-259-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PLANK RD STE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502693",
            "telephone_number": "845-610-5198",
            "fax_number": "845-259-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Winding Ln",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125502224",
            "country_code": "US",
            "telephone_number": "845-610-5198",
            "fax_number": "845-259-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Lake St",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125505263",
            "country_code": "US",
            "telephone_number": "845-563-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "HUGH",
        "middle_name": "L.A",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401498",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "460673-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03722332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.