NPIMap

Individual provider Active NPI

Makenzie Thompson

  • Family Nurse Practitioner
  • Ghent, WV
National Provider Identifier
1386196996
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106985 Issued in WV
Practice address
149 McIntosh St
Ghent, WV 25843-1805
Phone
(304) 673-0844
NPI assigned
Oct 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 92290 WV
Family Nurse Practitioner 363LF0000X 106985 WV Primary

Addresses

Primary practice location

149 McIntosh St
Ghent, WV 25843-1805

Mailing address

202 Guyandotte Ave
Mullens, WV 25882-1308
Phone (304) 294-6800

Other names 1

  • Mrs. Makenzie Long Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116001675 WV Practitioner - Nurse Practitioner 3678984093 Reassigns benefits to 4 organizations

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
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

275 Dry Hill Rd
Beckley, WV 25801-2605
Phone (304) 253-6060

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106985WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Oct 15, 2023 Accepting new patients
Lambert Medical, Inc Family CurrentSince May 26, 2021 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Beckley Oncology Associates Inc CurrentSince Oct 4, 2021 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23584/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1386196996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GUYANDOTTE AVE",
            "city": "MULLENS",
            "state": "WV",
            "postal_code": "258821308",
            "telephone_number": "304-294-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MCINTOSH ST",
            "city": "GHENT",
            "state": "WV",
            "postal_code": "258431805",
            "telephone_number": "304-673-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MAKENZIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-30",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WV",
            "license": "92290",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "LONG",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ghent, WV

Sources for this page

Verify at the official NPI Registry.