Individual provider Active NPI

Erin Elizabeth McKenzie, FNP-C

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1285324756
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LE-00046399 Issued in OH
Practice address
77 E Midlothian Blvd
Youngstown, OH 44507-2021
Phone
(800) 230-7526
Fax
(234) 402-4086
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0033837 OH
Family Nurse Practitioner 363LF0000X LE-00046399 OH Primary

Addresses

Primary practice location

77 E Midlothian Blvd
Youngstown, OH 44507-2021

Mailing address

PO Box 933428
Cleveland, OH 44193-0039
Phone (234) 402-4086

Other names 1

  • Ms. Erin Elizabeth McKenzie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 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
I20231127001022 OH Practitioner - Nurse Practitioner 2769830108 Reassigns benefits to 2 organizations
I20250728002923 OR Practitioner - Nurse Practitioner 2769830108 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
Telehealth
Offers telehealth services
Group practices
The Gastroenterology Clinic and Endoscopy Center IncGroup PAC ID 3274429477, 36 clinicians
Nisha Jackson IncGroup PAC ID 6305147745, 47 clinicians

Practice addresses (Care Compare)

1622 E Market St
Warren, OH 44483-6613
Phone (330) 399-7215

1700 NW Garden Valley Blvd
Suite 201
Roseburg, OR 97471-1636
Phone (541) 464-0788

2088 NE Kim LN
Bend, OR 97701-6588
Phone (541) 309-0031

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 494-9355

3312 Gateway St
Springfield, OR 97477-1054
Phone (541) 393-1037

992 Country Club Rd
Suite 201
Eugene, OR 97401-6023
Phone (541) 204-4745

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00046399OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Dec 16, 2024 Accepting new patients
Planned Parenthood of Greater Ohio Current Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Oct 1, 2023 Accepting new patients
Onepeak Southern Oregon PC Past Accepting new patients

Locations

384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

77 E Midlothian Blvd
Youngstown, OH 44507
Phone (330) 788-2487

Interoperability endpoints

  • Direct secure messaging: erin.mckenzie.p1@direct.opm.nextgenshare.com

Organizations & group practices 5

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1285324756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933428",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "234-402-4086",
            "fax_number": "234-402-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445072021",
            "telephone_number": "800-230-7526",
            "fax_number": "234-402-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00046399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MCKENZIE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.