Active NPI
Makenzie Ann McKernan, WHNP
- Nurse Practitioner
- Malone, NY
National Provider Identifier
1144947904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 421700
- Practice address
- 16 Third Street Uvmhn Alice Hyde Medical Center OB/GYN
Suite C
Malone, NY 12953 - Phone
- (518) 481-2896
- Fax
- (518) 481-2895
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 026.0142363 | VT | |
| Nurse Practitioner | 363L00000X | 421700 | NY | Primary |
Addresses
Primary practice location
16 Third Street Uvmhn Alice Hyde Medical Center OB/GYN
Suite C
Malone, NY 12953
Mailing address
16 Third Street Ahmc OB/GYN & Midwifery
Suite C
Malone, NY 12953
Phone (518) 481-2896
Other practice location 1
108 Juniper Ln Apt 1
Middlebury, VT 05753-8892
Phone (151) 894-4706
Other names 1
- Ms. Makenzie Ann Winslow
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0142363 | VT | MD | Registered Nurse |
| 421700 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
16 3rd St
Ste C
Malone, NY 12953
Phone (518) 481-2896
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
Interoperability endpoints
- mwinslow378277@direct.uvmhealth.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1144947904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 THIRD STREET AHMC OB/GYN & MIDWIFERY",
"address_2": "SUITE C",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-481-2896",
"fax_number": "518-481-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 THIRD STREET UVMHN ALICE HYDE MEDICAL CENTER OB/GYN",
"address_2": "SUITE C",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-481-2896",
"fax_number": "518-481-2895"
}
],
"practiceLocations": [
{
"address_1": "108 Juniper Ln Apt 1",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057538892",
"country_code": "US",
"telephone_number": "151-894-4706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKERNAN",
"first_name": "MAKENZIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2024-12-20",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VT",
"license": "026.0142363",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "421700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAKENZIE",
"last_name": "WINSLOW",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "WHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.