Active NPI
Leah McKenzi Utz, APRN
- Adult Health Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11014188
- Practice address
- 1223 Gateway Dr
Melbourne, FL 32901-2607 - Phone
- (321) 361-5567
- Fax
- (321) 951-3124
- NPI assigned
- Oct 8, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11014188 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 11014188 | FL |
Addresses
Primary practice location
1223 Gateway Dr
Melbourne, FL 32901-2607
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5567
Other practice location 1
699 W Cocoa Beach Cswy Ste 506
Cocoa Beach, FL 32931-3562
Phone (321) 361-2070
Other practice location 2
730 Malabar Rd Ste B
Malabar, FL 32950-3140
Phone (321) 631-2070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112426800 | Medicaid | FL | |
| OI662 | Other | FL | MEDICARE HF |
Other names 1
- Leah McKenzi McDonnell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20211026003292 | FL | Practitioner - Nurse Practitioner | 6103214028 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Health First Medical Group, LLC
Practice addresses (Care Compare)
699 W Cocoa Beach Cswy
Suite 502
Cocoa Beach, FL 32931-3562
Phone (321) 868-5885
Hospital & facility affiliations
- Cape Canaveral Hospital
- Viera Hospital
- Holmes Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014188 | FL | MD | Adult Health Nurse Practitioner |
| 11014188 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 502
Cocoa Beach, FL 32931
Phone (321) 868-5885
699 W Cocoa Beach Cswy
Ste 506
Cocoa Beach, FL 32931
Phone (321) 631-2070
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
730 Malabar Rd
Ste B
Malabar, FL 32950
Phone (321) 549-0696
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1223 Gateway Dr
Ste 2A
Melbourne, FL 32901
Phone (321) 361-5567
1846 US Highway 1
Ste B
Rockledge, FL 32955
Phone (321) 434-9564
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
1846 US Highway 1
Ste C
Rockledge, FL 32955
Phone (321) 434-9528
Interoperability endpoints
- lutz26151@epicdirect.hf.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1831738392
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1932748423
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1700548500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-361-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 GATEWAY DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012607",
"telephone_number": "321-361-5567",
"fax_number": "321-951-3124"
}
],
"practiceLocations": [
{
"address_1": "699 W Cocoa Beach Cswy Ste 506",
"address_purpose": "LOCATION",
"city": "Cocoa Beach",
"state": "FL",
"postal_code": "329313562",
"country_code": "US",
"telephone_number": "321-361-2070",
"fax_number": "321-631-6489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 Malabar Rd Ste B",
"address_purpose": "LOCATION",
"city": "Malabar",
"state": "FL",
"postal_code": "329503140",
"country_code": "US",
"telephone_number": "321-631-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UTZ",
"first_name": "LEAH",
"middle_name": "MCKENZI",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11014188",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11014188",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112426800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "OI662",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "MCDONNELL",
"middle_name": "MCKENZI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.