Individual provider Active NPI

Mackenzie Smith Dains, APRN

  • Nurse Practitioner
  • Truckee, CA
National Provider Identifier
1205418142
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021087 Issued in CA
Practice address
10121 Pine Ave
Truckee, CA 96161-4835
Phone
(530) 582-6452
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95021087 CA Primary

Addresses

Primary practice location

10121 Pine Ave
Truckee, CA 96161-4835

Mailing address

10121 Pine Ave
Truckee, CA 96161-4856
Phone (530) 583-6452

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdains@tfhd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210614002418 NV Practitioner - Nurse Practitioner 9638579675 Reassigns benefits to 1 organization
I20220818002060 CA Practitioner - Nurse Practitioner 9638579675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021087CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John a Shields MD and Steven a Schiff MD a Professional Corporation CurrentSince Jul 1, 2021 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Tahoe Forest Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
St. Mary'S Regional Medical Center Past Accepting new patients

Locations

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1205418142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614856",
            "telephone_number": "530-583-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-582-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAINS",
        "first_name": "MACKENZIE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdains@tfhd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "10121 Pine Ave",
            "city": "Truckee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961614835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.