Shelli M McKenzie, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN189722 Issued in GA

Practice address

3200 W End Ave
Nashville, TN 37203-1330

Phone

(866) 849-0692

Fax

(888) 973-8821

NPI assigned

Oct 20, 2020

Last updated

May 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Shelli M Hancock Former name

Medicare fee-for-service enrollment

Enrolled in TN, GA, TX3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Pain Consultants, PLLC

  • Pain Medicine Physician
  • Cleveland, TN
  • NPI 1497267173

  GA

  Medicare reassignment NPD
• Interventional Pain Consultants

  • Interventional Pain Medicine Physician
  • Cleveland, TN
  • NPI 1174241145
  Medicare reassignment NPD
• Restoration Recovery, PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Chattanooga, TN
  • NPI 1770011652
  Medicare reassignment NPD
• En LLC

  dba Erlanger Express Care

  • Urgent Care Clinic/Center
  • Ringgold, GA
  • NPI 1548829187
  Medicare reassignment
• Interventional Pain Consultants

  • Durable Medical Equipment & Medical Supplies
  • Ringgold, GA
  • NPI 1629932389
  NPD
• Birthcare & Womens Health

  • Medical Specialty Clinic/Center
  • Cleveland, TN
  • NPI 1942566773
  NPD (past)
• Chattanooga Skin & Cancer Clinic

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1447343694
  NPD (past)

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1679172787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031330",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6982 Nashville St",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307362420",
            "country_code": "US",
            "telephone_number": "423-505-3972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "SHELLI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0037016",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1171272",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28738",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0103447-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN189722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLI",
            "last_name": "HANCOCK",
            "middle_name": "M",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan McKenzie-Solis, APRN, AGACNP-BC
• Jaine McKenzie, M.D.
• Katelyn McKenzie
• Megan Morton McKenzie, FNP-C
• Robert Kenneth McKenzie, P.A.
• William Stuart McKenzie, D.M.D.
• Adrianne Anderson McKeon, PHD
• Robert Thomas McKeown, PMHNP
• Lindsey Colman McKernan, PH.D.
• Shyla Shanease McKinley, DDS

• Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.