Individual provider Active NPI

Mackenzie Sweeney, FNP-BC

  • Family Nurse Practitioner
  • Canton, NY
National Provider Identifier
1558095737
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349890 Issued in NY
Practice address
6119 US Highway 11
Canton, NY 13617-3991
Phone
(315) 261-5810
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canton-Potsdam Hospital 243 clinicians

Practice addresses (Care Compare)

6119 US Hwy 11
Canton, NY 13617-3991
Phone (315) 265-3300

Hospital & facility affiliations

  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
  • Gouverneur Hospital Hospital, Gouverneur, NY, CCN 331315
  • SLHS Massena, Inc Hospital, Massena, NY, CCN 331322
  • Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220825003334 NY Practitioner - Nurse Practitioner 5193109072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
751039NYMDRegistered Nurse
349890NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Jul 27, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jul 27, 2022 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

6119 US Highway 11
Canton, NY 13617
Phone (315) 261-5810

6119 US Highway 11
Ste 11
Canton, NY 13617

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

181 Maple St
Ste B
Massena, NY 13662
Phone (315) 769-4656

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Interoperability endpoints

  • Direct secure messaging: msweeney337867@direct.rochesterregional.org

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 349890 NY Primary
Registered Nurse 163W00000X 751039 NY

Addresses

Primary practice location

6119 US Highway 11
Canton, NY 13617-3991

Mailing address

6119 US Highway 11
Canton, NY 13617-3991

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1558095737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 US HIGHWAY 11",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 US HIGHWAY 11",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173991",
            "telephone_number": "315-261-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MACKENZIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349890",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "751039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.