Mackenzie Lesha Wilson, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5016604 Issued in NC

Practice address

120 Health Center Dr
Ahoskie, NC 27910-8161

Phone

(252) 332-3548

NPI assigned

Jul 27, 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 NC

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

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Roanoke Chowan Community Health Center IncGroup PAC ID 7214983386, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Health Services Home health agency, Washington, NC, CCN 347329
• Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwilson590516@direct.ochin.org

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.

• Roanoke Chowan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Colerain, NC
  • NPI 1790851004
  Medicare reassignment Care Compare group NPD
• Roanoke Chowan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Woodland, NC
  • NPI 1023675113
  NPD
• Roanoke Chowan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Creswell, NC
  • NPI 1619342706
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Carolina Health

  • General Acute Care Hospital
  • Ahoskie, NC
  • NPI 1467441394
  Care Compare affiliation
• Eastern Carolina Home Health Agency, LLC

  • Home Health Agency
  • Washington, NC
  • NPI 1750318614
  Care Compare affiliation

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1215663737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 TROY ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279102146",
            "telephone_number": "252-862-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "252-332-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MACKENZIE",
        "middle_name": "LESHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5016604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernestine Futrell Webster, LCSW
• Patricia Wright Wesson, M.D.
• Willem, LLC
• Bernard A. Williams, M.D.
• Arnethia Iraelle Wills, PHARMD
• Robin Davenport Winslow, PTA
• Valecia Lisa Wooddell
• Al-Mounawara Yaya
• You'Re in Our Care
• Tosha Young, PTA

• Family Medicine Physician in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.