Individual provider Active NPI

Mackenzie Buzzard, FNP

  • Family Nurse Practitioner
  • Altamont, IL
National Provider Identifier
1689359267
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027613 Issued in IL
Practice address
3 DO It Dr
Altamont, IL 62411-1135
Phone
(618) 483-6131
Fax
(618) 483-6718
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.027613 IL Primary

Addresses

Primary practice location

3 DO It Dr
Altamont, IL 62411-1135

Mailing address

3 DO It Dr
Altamont, IL 62411-1135
Phone (618) 483-6131

Other practice location 1

207 S Main St
Dieterich, IL 62424-1128
Phone (217) 925-5730

Other practice location 2

1201 Wooddell Way Ste B
Mattoon, IL 61938-1014
Phone (217) 238-3000

Other practice location 3

2040 Lincoln Ave Ste 100
Charleston, IL 61920-3197
Phone (217) 345-2030

Other practice location 4

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-4764

Other practice location 5

1303 W Evergreen Ave Ste 100
Effingham, IL 62401-1638
Phone (217) 540-6123

Other names 1

  • Mackenzie Wermert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbuzzard354961@ewd.direct.hshs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20231207002370 IL Practitioner - Nurse Practitioner 4587018353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1900 E Lake Shore Dr
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889

2040 Lincoln Ave
Suite 100
Charleston, IL 61920-3197
Phone (217) 345-2030

207 S Main St
Dieterich, IL 62424-1128
Phone (217) 952-5730

3 DO It Dr
Altamont, IL 62411-1135
Phone (217) 483-6131

Hospital & facility affiliations

  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.027613ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Apr 1, 2026 Accepting new patients
SJL Health Systems Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

3 Do It Dr
Altamont, IL 62411
Phone (217) 540-2345

207 S Main St
Dieterich, IL 62424
Phone (217) 925-5730

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: mbuzzard354961@ewd.direct.hshs.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1689359267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DO IT DR",
            "city": "ALTAMONT",
            "state": "IL",
            "postal_code": "624111135",
            "telephone_number": "618-483-6131",
            "fax_number": "618-483-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DO IT DR",
            "city": "ALTAMONT",
            "state": "IL",
            "postal_code": "624111135",
            "telephone_number": "618-483-6131",
            "fax_number": "618-483-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Main St",
            "address_purpose": "LOCATION",
            "city": "Dieterich",
            "state": "IL",
            "postal_code": "624241128",
            "country_code": "US",
            "telephone_number": "217-925-5730",
            "fax_number": "217-925-5736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Wooddell Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619381014",
            "country_code": "US",
            "telephone_number": "217-238-3000",
            "fax_number": "217-238-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Lincoln Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619203197",
            "country_code": "US",
            "telephone_number": "217-345-2030",
            "fax_number": "217-345-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Tuscola Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619532065",
            "country_code": "US",
            "telephone_number": "217-253-4764",
            "fax_number": "217-253-4886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 W Evergreen Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624011638",
            "country_code": "US",
            "telephone_number": "217-540-6123",
            "fax_number": "217-347-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZZARD",
        "first_name": "MACKENZIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbuzzard354961@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3 Do It Dr",
            "city": "Altamont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624111135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "WERMERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altamont, IL

Sources for this page

Verify at the official NPI Registry.