Individual provider Active NPI

Amber C McKenzie, RN

  • Nurse Practitioner
  • Franklin, WI
National Provider Identifier
1346748092
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8250-33 Issued in WI
Practice address
9120 W Loomis Rd Ste 100
Franklin, WI 53132-9083
Phone
(414) 858-1740
NPI assigned
Jan 29, 2018
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8250-33 WI Primary

Addresses

Primary practice location

9120 W Loomis Rd Ste 100
Franklin, WI 53132-9083

Mailing address

9120 W Loomis Rd Ste 100
Franklin, WI 53132-9083
Phone (414) 858-1740

Other practice location 1

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 389-2188

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amckenzie29118@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180313001360 WI Practitioner - Nurse Practitioner 1456613306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

8400 Washington Ave
Mount Pleasant, WI 53406-3735
Phone (262) 321-3000

9120 W Loomis Rd
Suite 100
Franklin, WI 53132-9083
Phone (414) 858-1740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8250-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare, Inc. CurrentSince Feb 23, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 23, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 23, 2018 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Feb 23, 2018 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

9120 W Loomis Rd
Ste 100
Franklin, WI 53132
Phone (262) 939-9318

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

9000 W Sura Ln
Milwaukee, WI 53228
Phone (414) 246-6500

8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000

Interoperability endpoints

  • Direct secure messaging: amckenzie29118@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1346748092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 W LOOMIS RD STE 100",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329083",
            "telephone_number": "414-858-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 W LOOMIS RD STE 100",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329083",
            "telephone_number": "414-858-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 W Good Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532092042",
            "country_code": "US",
            "telephone_number": "414-389-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "AMBER",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8250-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amckenzie29118@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9120 W Loomis Rd Ste 100",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531329083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9120 W Loomis Rd Ste 100",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531329083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.