Active NPI
Mackenzie Sweeney, FNP-BC
- Family Nurse Practitioner
- Canton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349890
- 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.
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Physical Therapy Clinic/Center
- Canton, NY
- NPI 1770703522
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
Practice addresses (Care Compare)
6119 US Hwy 11
Canton, NY 13617-3991
Phone (315) 265-3300
Hospital & facility affiliations
- Canton-Potsdam Hospital
- Gouverneur Hospital
- SLHS Massena, Inc
- Carthage Area Hospital, Inc
- Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 751039 | NY | MD | Registered Nurse |
| 349890 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | 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
- msweeney337867@direct.rochesterregional.org
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.