Individual provider Active NPI

Makenzie Record, APRN

  • Family Nurse Practitioner
  • Harrodsburg, KY
National Provider Identifier
1255060554
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015603 Issued in KY
Practice address
106 Commercial Dr
Harrodsburg, KY 40330-1084
Phone
(859) 734-3482
Fax
(859) 734-3432
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015603 KY Primary

Addresses

Primary practice location

106 Commercial Dr
Harrodsburg, KY 40330-1084

Mailing address

106 Commercial Dr
Harrodsburg, KY 40330-1084
Phone (859) 734-3482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221031001975 KY Practitioner - Nurse Practitioner 3375910649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard M. Dartt, PSCGroup PAC ID 4880629179, 2 clinicians

Practice addresses (Care Compare)

106 Commercial Dr
Harrodsburg, KY 40330-1084
Phone (859) 754-3482

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.39 of 100Reported as group
Quality
35
Improvement activities
40
Cost
74.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3015603KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Dartt PSC CurrentSince Aug 1, 2022 Accepting new patients

Locations

106 Commercial Dr
Harrodsburg, KY 40330
Phone (859) 734-3482

Interoperability endpoints

  • Direct secure messaging: richardmdarttpsc.makenzierecord@120475.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1255060554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COMMERCIAL DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301084",
            "telephone_number": "859-734-3482",
            "fax_number": "859-734-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COMMERCIAL DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301084",
            "telephone_number": "859-734-3482",
            "fax_number": "859-734-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECORD",
        "first_name": "MAKENZIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.