Individual provider Active NPI

Mackenzie Foster, CRNP

  • Family Medicine Physician
  • Paoli, PA
National Provider Identifier
1528555703
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP018772 Issued in PA
Practice address
250 W Lancaster Ave Ste 120
Paoli, PA 19301-1798
Phone
(610) 644-8069
NPI assigned
Apr 13, 2018
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018772 PA
Family Medicine Physician 207Q00000X SP018772 PA Primary

Addresses

Primary practice location

250 W Lancaster Ave Ste 120
Paoli, PA 19301-1798

Mailing address

250 W Lancaster Ave Ste 120
Paoli, PA 19301-1798
Phone (610) 644-8069

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paolifam@comcast.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220825000894 PA Practitioner - Nurse Practitioner 9234529041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paoli Family MedicineGroup PAC ID 8325022759, 10 clinicians

Practice addresses (Care Compare)

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1798
Phone (610) 644-8069

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paoli Family Medicine Family Medicine CurrentSince Aug 11, 2022 Accepting new patients

Locations

250 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-8069

250 W Lancaster Ave
Ste 120V
Paoli, PA 19301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA
  • Direct secure messaging: mackenzie.foster@pfmp.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1528555703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011798",
            "telephone_number": "610-644-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011798",
            "telephone_number": "610-644-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MACKENZIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018772",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP018772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paolifam@comcast.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "250 W Lancaster Ave Ste 120",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.