Individual provider Active NPI

Mackenzie Shireman, DNP, RN, NP-C

  • Family Nurse Practitioner
  • Warsaw, IN
National Provider Identifier
1346765146
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007581A Issued in IN
Practice address
112 E Center St Ste a
Warsaw, IN 46580-2840
Phone
(574) 213-2170
Fax
(866) 793-8007
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 71007581A IN Primary

Addresses

Primary practice location

112 E Center St Ste a
Warsaw, IN 46580-2840

Mailing address

112 E Center St Ste a
Warsaw, IN 46580-2840
Phone (574) 213-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 18, 2026 through Jun 18, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12.012722CTMDMedical Specialty Clinic/Center
353016NYMDMedical Specialty Clinic/Center
71007581AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Flourish Medical LLC Family Current Accepting new patients

Locations

112 E Center St
Ste A
Warsaw, IN 46580

Interoperability endpoints

  • Direct secure messaging: mackenzie.shireman.2@25522.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1346765146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E CENTER ST STE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465802840",
            "telephone_number": "574-213-2170",
            "fax_number": "866-793-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E CENTER ST STE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465802840",
            "telephone_number": "574-213-2170",
            "fax_number": "866-793-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREMAN",
        "first_name": "MACKENZIE",
        "credential": "DNP, RN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007581A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.