McKenzie Vanheusen, MSN, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11027084 Issued in FL

Practice address

5210 Webb Rd
Tampa, FL 33615-4518

Phone

(813) 882-9986

Fax

(813) 882-9849

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• McKenzie Van Heusen Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ocean Dermatology LLCGroup PAC ID 3779729603, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mvanheusen@aadermaffiliates.emadirect.md

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.

• Blue Ocean Dermatology LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1992045272
  Medicare reassignment Care Compare group NPD
• Academic Alliance in Dermatology, PLLC

  • Dermatology Physician
  • Tampa, FL
  • NPI 1659948503
  NPD
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1164309605
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1184501611
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Daytona Beach, FL
  • NPI 1689551129
  NPD (past)
• Dermatology on the Spot, LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1487058533
  NPD (past)

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

• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1144906744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHEUSEN",
        "first_name": "MCKENZIE",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "VAN HEUSEN",
            "credential": "MSN, APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Hawkins Vanfleet, M.D.
• Isabela Vanga
• Vanguard Emergency Physicians, LLC
• Vanguard Emergency Physicians, LLC
• Marissa Anne Vanhassel
• Leigh Ann Vanhove, BA,CRNA,ARNP,MS
• Diana L. Vann, D.M.D.
• H David Vann Jr., MD
• Kelly Vann, CRNA
• Heather Lynne Vanopdorp, ATC

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.