Individual provider Active NPI

McKensie Clark Aaron, APRN, FNP-C

  • Family Nurse Practitioner
  • Brewton, AL
National Provider Identifier
1245968049
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-182878 Issued in AL
Practice address
2134 Douglas Ave
Brewton, AL 36426-1155
Phone
(251) 236-4026
Fax
(251) 270-4257
NPI assigned
Aug 10, 2022
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024197603 VA
Nurse Practitioner 363L00000X ARNP.AP.70132093-NP WA
Nurse Practitioner 363L00000X 11047807 FL
Family Nurse Practitioner 363LF0000X 1-182878 AL Primary
Registered Nurse 163W00000X 1-182878 AL

Addresses

Primary practice location

2134 Douglas Ave
Brewton, AL 36426-1155

Mailing address

2134 Douglas Ave
Brewton, AL 36426-1155
Phone (251) 236-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20221205000638 AL Practitioner - Nurse Practitioner 3274902838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

1026 S Eufaula Ave
Eufaula, AL 36027-2702
Phone (334) 689-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-182878ALMDRegistered Nurse
11047807FLMDNurse Practitioner
0024197603VAMDNurse Practitioner
ARNP.AP.70132093-NPWAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Oct 23, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

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.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1245968049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261155",
            "telephone_number": "251-236-4026",
            "fax_number": "251-270-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261155",
            "telephone_number": "251-236-4026",
            "fax_number": "251-270-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AARON",
        "first_name": "MCKENSIE",
        "middle_name": "CLARK",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024197603",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "ARNP.AP.70132093-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11047807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-182878",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-182878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewton, AL

Sources for this page

Verify at the official NPI Registry.