Individual provider Active NPI

Mackenzie Hurst, FNP

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1295591162
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024484 Issued in NC
Practice address
1413 Greenway CT
Sanford, NC 27330-6954
Phone
(910) 235-3139
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11031521 FL
Family Nurse Practitioner 363LF0000X 5024484 NC Primary

Addresses

Primary practice location

1413 Greenway CT
Sanford, NC 27330-6954

Mailing address

1413 Greenway CT
Sanford, NC 27330-6954
Phone (910) 235-3139

Other practice location 1

350 Redstone Ave W
Crestview, FL 32536-6433
Phone (850) 689-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240624000140 FL Practitioner - Nurse Practitioner 2365985066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Dermatology and Skin Surgery Center P aGroup PAC ID 7618928318, 7 clinicians

Practice addresses (Care Compare)

350 Redstone Ave W
Crestview, FL 32536-6433
Phone 8506891740203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031521FLMDNurse Practitioner
5024484NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Dermatology & Skin Surgery Center PA CurrentSince May 23, 2024 Accepting new patients

Locations

350 Redstone Ave W
Crestview, FL 32536
Phone (850) 689-1740

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1295591162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306954",
            "telephone_number": "910-235-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306954",
            "telephone_number": "910-235-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Redstone Ave W",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325366433",
            "country_code": "US",
            "telephone_number": "850-689-1740",
            "fax_number": "850-682-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "MACKENZIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.