Julie Black McKenzie, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR0057620 Issued in CO

Practice address

16172 Highway 9
Breckenridge, CO 80424-8959

Phone

(970) 423-8840

Fax

(970) 423-8850

NPI assigned

Jun 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swan Mountain Womens Center PCGroup PAC ID 0244489649, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Swan Mountain Women'S Center, PC

  • Obstetrics & Gynecology Physician
  • Breckenridge, CO
  • NPI 1093087108
  Medicare reassignment Care Compare group NPD
• High Country Health Care PC

  • Family Medicine Physician
  • Silverthorne, CO
  • NPI 1770785131
  NPD (past)

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

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Frisco, CO
  • NPI 1720096092
  Care Compare affiliation

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1679953053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "970-423-8840",
            "fax_number": "970-423-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "970-423-8840",
            "fax_number": "970-423-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JULIE",
        "middle_name": "BLACK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0057620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby R Lockhart, DC
• Gordon Charles Manin, M.D.
• Jane Matthews, L.AC
• Joanne D McGrew, FNP
• Rachel Anne McHugh, PHARMD
• Medcare, LLC
• Amanda Meehan
• Robert Charles Meister, D.D.S.
• Andrew William Mikita, LPC
• Mindfulness Matters Institute

• Family Medicine Physician in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.