Individual provider Active NPI

Mackenzie Alexandra Annee, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1467178152
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926
Phone
(239) 263-0849
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926

Mailing address

5572 Six Mile Commercial CT Apt 210
Fort Myers, FL 33912-4494
Phone (317) 502-3828

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
I20230322000345 FL Practitioner - Physician Assistant 8628442290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naples Heart Rhythm Specialists PAGroup PAC ID 8729177035, 21 clinicians

Practice addresses (Care Compare)

6376 Pine Ridge Rd
Naples, FL 34119-3926
Phone (239) 263-0849

730 Goodlette Rd N
Suite 100
Naples, FL 34102-5617
Phone (239) 682-6603

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as group
Quality
72.26
Promoting interoperability
100
Improvement activities
40
Cost
75.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mackenzie.annee.1@25641.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.

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1467178152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5572 SIX MILE COMMERCIAL CT APT 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124494",
            "telephone_number": "317-502-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 180",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193926",
            "telephone_number": "239-263-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNEE",
        "first_name": "MACKENZIE",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.