Active NPI
Jana Miriam McKenzie, D.O.
- Internal Medicine Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO52051
- Practice address
- 5325 Faraon St
Saint Joseph, MO 64506-3488 - Phone
- (816) 271-6406
- NPI assigned
- May 31, 2012
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | DO52051 | SC | Primary |
Addresses
Primary practice location
5325 Faraon St
Saint Joseph, MO 64506-3488
Mailing address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Other practice location 1
102 Lyons Ave
Newark Beth Israel Medical Center
Newark, NJ 07112-2239
Phone (973) 926-7000
Other practice location 2
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 692-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6406
Hospital & facility affiliations
- Mosaic Life Care at St Joseph
- Mosiac Life Care at St Joseph
- Carriage Square Rehab and Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO52051 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalist Physicians of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Northwest Medical Center Association, Inc | Current | Accepting new patients | |
| Northwest Medical Center Association Inc | Current | Accepting new patients | |
| Mosaic Medical Center - Maryville | Internal Medicine | Current | Accepting new patients |
| Mosaic Medical Center - Maryville | Current | Accepting new patients | |
| Heartland Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Ipc Hospitalist Physicians of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Heartland Regional Medical Center | Past | Accepting new patients | |
| Carriage Operator LLC | Past | Accepting new patients |
Locations
705 N College St
Albany, MO 64402
Phone (660) 726-3941
2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395
151 Madison Ave
Morristown, NJ 07960
Phone (973) 656-2700
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755
Organizations & group practices 12
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.
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Internal Medicine
-
dba Mosaic Medical Center Albany
- Medicare Defined Swing Bed Hospital Unit
- Albany, MO
- NPI 1124164322
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1639303159
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1033210323
-
dba Mosaic Life Care at St. Joseph Acute Rehab
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
dba Mosaic Behavioral Health - Maryville
- Psychiatric Hospital Unit
- Maryville, MO
- NPI 1477027803
-
dba Mosaic Family Care Grant City
- Rural Health Clinic/Center
- Grant City, MO
- NPI 1053452623
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1013141423
-
dba Newark Beth Israel Medical Center
- Psychiatric Hospital Unit
- Newark, NJ
- NPI 1043457955
-
dba Carriage Square Rehab and Healthcare Center
- Skilled Nursing Facility
- Saint Joseph, MO
- NPI 1780358473
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carriage Square Rehab and Healthcare Center
- Skilled Nursing Facility
- Saint Joseph, MO
- NPI 1780358473
Nursing home
-
dba Long Term Acute Care Hospital, Mosaic Life Care at St. Joseph
- Long Term Care Hospital
- Saint Joseph, MO
- NPI 1568695781
Long-term care hospital
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1629339122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-6406"
}
],
"practiceLocations": [
{
"address_1": "102 Lyons Ave",
"address_2": "Newark Beth Israel Medical Center",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122239",
"country_code": "US",
"telephone_number": "973-926-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "809 82nd Pkwy",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "29572",
"country_code": "US",
"telephone_number": "843-692-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKENZIE",
"first_name": "JANA",
"middle_name": "MIRIAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "DO52051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.