Active NPI
Mackenzie Winkler, FNP
- Family Nurse Practitioner
- Kenosha, WI
National Provider Identifier
1205247236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2014006212
- Practice address
- 7224 118TH Ave Ste E
Kenosha, WI 53142-8424 - Phone
- (630) 296-2222
- NPI assigned
- May 13, 2014
- Last updated
- Feb 7, 2025
- 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 | 2010022329 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2014006212 | MO | Primary |
Addresses
Primary practice location
7224 118TH Ave Ste E
Kenosha, WI 53142-8424
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222
Other practice location 1
15846 Manchester Rd
Ellisville, MO 63011-2208
Phone (636) 527-6074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010022329 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba AT Physical Therapy
- Physical Therapist
- Greenfield, WI
- NPI 1174611313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1205247236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7224 118TH AVE STE E",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428424",
"telephone_number": "630-296-2222"
}
],
"practiceLocations": [
{
"address_1": "15846 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MO",
"postal_code": "630112208",
"country_code": "US",
"telephone_number": "636-527-6074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINKLER",
"first_name": "MACKENZIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2010022329",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014006212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
- Wilson Wellness Group (Bella Home Medical and Rehab)
- Matthew William Winans, LAT
- Abigail Wincek
- Melissa A Wingate, PSYD
- Leslie Eugene Winget III
- Kara Winslow, M.S., R.D., C.D.
- Amanda Winter, RN, RCS
- Wisconsin Center for Myofascial Release, SC
- Wisconsin CVS Pharmacy LLC (CVS Pharmacy #08774)
- Wisconsin CVS Pharmacy LLC (CVS Pharmacy #02933)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.