Individual provider Active NPI

McKenzie S McManus, NP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1194249763
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1013902 Issued in TX
Practice address
2701 S Georgia St
Amarillo, TX 79109-1979
Phone
(806) 351-2000
Fax
(806) 351-2060
NPI assigned
Jul 26, 2017
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN270565 GA
Family Nurse Practitioner 363LF0000X 1013902 TX Primary

Addresses

Primary practice location

2701 S Georgia St
Amarillo, TX 79109-1979

Mailing address

2607 Wolflin Ave # 968
Amarillo, TX 79109-1825
Phone (806) 351-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201215001846 TX Practitioner - Nurse Practitioner 9335408442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cindy I Hutson DO PAGroup PAC ID 2567480502, 4 clinicians

Practice addresses (Care Compare)

2703 Mockingbird LN
Amarillo, TX 79109-3330
Phone (806) 351-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
93.96
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN270565GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy I. Hutson, D.O., P.a. CurrentSince Oct 15, 2020 Accepting new patients
SFH Columbus Cardiology, LLC Family PastSince Sep 1, 2014 Accepting new patients

Locations

2701 S Georgia St
Amarillo, TX 79109
Phone (806) 350-3000

2607 Wolflin Ave
Amarillo, TX 79109
Phone (323) 488-3431

2703 Mockingbird Ln
Amarillo, TX 79109
Phone (806) 351-2000

1301 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 322-3273

Organizations & group practices 2

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 2

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1194249763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOLFLIN AVE # 968",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091825",
            "telephone_number": "806-351-2000",
            "fax_number": "806-351-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091979",
            "telephone_number": "806-351-2000",
            "fax_number": "806-351-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "MCKENZIE",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN270565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1013902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.