Mackenzie Louise Meredith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704322197 Issued in MI

Practice address

1402 W 14 Mile Rd
Clawson, MI 48017-1499

Phone

(248) 435-7314

NPI assigned

Aug 30, 2022

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

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

Merit-based Incentive Payment System (MIPS)

Final score

81.3 of 100Reported as group

Quality

76.96

Improvement activities

40

Cost

79.9

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Minuteclinic Diagnostic of Michigan PC

  • Family Nurse Practitioner
  • Northville, MI
  • NPI 1902848617
  Medicare reassignment NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1144940149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171499",
            "telephone_number": "248-435-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171499",
            "telephone_number": "248-435-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "MACKENZIE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Maurer
• Molly Lynn McClelland, PHD, RN, ACNS-BC
• Steven C McClelland, MD
• April McLain, RDH
• Robert Meldrum II, MASSAGE THERAPIST
• Tefta Metaj
• Agata M Michalczak, DO
• Michigan Ophthalmology Specialists, PLLC
• Michigan Pulmonayr & Sleep Physicians, PC
• Michigan State Medical Group

• Family Nurse Practitioner in Clawson, MI
• Providers in Clawson, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; 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.