Individual provider Active NPI

Leah McKenzi Utz, APRN

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1700548500
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11014188 Issued in FL
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

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
112426800MedicaidFL
OI662OtherFLMEDICARE HF

Other names 1

  • Leah McKenzi McDonnell Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 701 clinicians

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 Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11014188FLMDAdult Health Nurse Practitioner
11014188FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Dec 13, 2021 Accepting new patients
Health First Medical Group, LLC CurrentSince Dec 13, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.