Individual provider Active NPI

Makenzie R. Griffin, FNP

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1093209645
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018528 Issued in FL
Practice address
985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone
(410) 535-2005
Fax
(410) 535-4850
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R209597 MD
Family Nurse Practitioner 363LF0000X APRN11018528 FL Primary
Family Nurse Practitioner 363LF0000X 343144 NY

Addresses

Primary practice location

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492

Mailing address

205 Steeple Chase Drive
Suite 304
Prince Frederick, MD 20678-4054
Phone (410) 535-2005

Other names 1

  • Makenzie R. Loftus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220718003982 FL Practitioner - Nurse Practitioner 0749530079 Reassigns benefits to 1 organization
I20251124003574 MD Practitioner - Nurse Practitioner 0749530079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690

14090 HG Trueman Rd
Suite 2500
Solomons, MD 20688-3151
Phone (410) 535-2005

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11018528FLMDFamily Nurse Practitioner
R209597MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Internal Medicine Group PA CurrentSince Dec 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 8, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 8, 2022 Accepting new patients
Glenn G. Marinelli MD PA PastSince Nov 9, 2025 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

1340 S 18th St
Ste 204
Fernandina Beach, FL 32034
Phone (904) 261-0643

1132 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-4690

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

205 Steeple Chase Dr
Ste 304
Prnc Frederck, MD 20678
Phone (443) 486-4088

985 Prince Frederick Blvd
Ste 201
Prnc Frederck, MD 20678
Phone (410) 414-5329

14090 Hg Trueman Rd
Ste 2500
Solomons, MD 20688

Interoperability endpoints

  • Direct secure messaging: mgriffin@calvertinternalmedicine.medentdirect.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, 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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1093209645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STEEPLE CHASE DRIVE",
            "address_2": "SUITE 304",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784054",
            "telephone_number": "410-535-2005",
            "fax_number": "443-432-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MAKENZIE",
        "middle_name": "R.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209597",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018528",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "LOFTUS",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.