Individual provider Active NPI

McKenzie Wilkinson, NP

  • Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1114746690
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704339045 Issued in MI
Practice address
1484 Straits Dr Ste 5
Bay City, MI 48706-8718
Phone
(989) 667-8740
NPI assigned
Oct 10, 2024
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704339045 MI Primary

Addresses

Primary practice location

1484 Straits Dr Ste 5
Bay City, MI 48706-8718

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (989) 667-8740

Other practice location 1

3884 Monitor Rd
Bay City, MI 48706-9298
Phone (989) 671-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241023002116 MI Practitioner - Nurse Practitioner 7113450685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway HealthcareGroup PAC ID 4284028481, 3 clinicians

Practice addresses (Care Compare)

1549 Washington St
Midland, MI 48640-5685
Phone (989) 259-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare CurrentSince Sep 1, 2025 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Nov 18, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Nov 18, 2024 Accepting new patients
Covenant Medical Center, Inc PastSince Sep 1, 2025 Accepting new patients

Locations

3884 Monitor Rd
Bay City, MI 48706
Phone (989) 671-2000

1549 Washington St
Midland, MI 48640
Phone (989) 259-1000

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: mckenzie.wilkinson.1@27771.direct.athenahealth.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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1114746690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "989-667-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718",
            "telephone_number": "989-667-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3884 Monitor Rd",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487069298",
            "country_code": "US",
            "telephone_number": "989-671-2000",
            "fax_number": "833-448-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "MCKENZIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704339045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.