Janae Suzann McKenzie, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013948 Issued in IL

Practice address

1915 Jefferson St
Quincy, IL 62301-5652

Phone

(217) 577-2992

Fax

(217) 214-6785

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Janae Robertson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 9, 2024 through Oct 9, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Family Planning Incorporated

  dba Pathway Health Clinic

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1659427797
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1477914885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 JEFFERSON ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015652",
            "telephone_number": "217-577-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 JEFFERSON ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015652",
            "telephone_number": "217-577-2992",
            "fax_number": "217-214-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "573-231-3132",
            "fax_number": "573-231-3716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 Hampshire St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013054",
            "country_code": "US",
            "telephone_number": "217-224-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JANAE",
        "middle_name": "SUZANN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016006756",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANAE",
            "last_name": "ROBERTSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McIntee Ear, Nose & Throat, SC
• Rae A McIntee, D.D.S., M.D.
• Sarah McIntyre, PA-C
• Janet Garrett McKay, LPN
• Dawn McKenzie, CRNP
• Brian McKinney, MPT
• Jamie McKinnon, OTR/L
• Jaden McMahon, APRN-FNP
• Robert McMorris
• Brian McNeil, P.T.

• Family Nurse Practitioner in Quincy, IL
• Providers in Quincy, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.