Kenzi McCalister

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025178 Issued in CA

Practice address

44452 N El Macero Dr
El Macero, CA 95618-1063

Phone

(530) 816-1462

NPI assigned

May 8, 2023

Last updated

Apr 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Generational Wellness and Nursing Services IncGroup PAC ID 4789041740, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenzi.mccalister@939399945977860.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Anaiah Hospice Care, Inc.

  dba Anaiah Hospice Care

  • Community Based Hospice Care Agency
  • Fair Oaks, CA
  • NPI 1598366601

  W-2 Managing Employee

  CMS ownership

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.

• Generational Wellness and Nursing Services Inc

  • Nurse Practitioner
  • Davis, CA
  • NPI 1477244861
  Medicare reassignment Care Compare group NPD Authorized official
• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment NPD
• Anaiah Hospice Care, Inc.

  dba Anaiah Hospice Care

  • Community Based Hospice Care Agency
  • Fair Oaks, CA
  • NPI 1598366601
  NPD (past)

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

• Ascension Home Health Care LLC

  dba NorthStar Healthcare Services

  • Home Health Agency
  • Sacramento, CA
  • NPI 1871186023
  Care Compare affiliation

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1740970383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44452 N EL MACERO DR",
            "city": "EL MACERO",
            "state": "CA",
            "postal_code": "956181063",
            "telephone_number": "530-816-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44452 N EL MACERO DR",
            "city": "EL MACERO",
            "state": "CA",
            "postal_code": "956181063",
            "telephone_number": "530-816-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALISTER",
        "first_name": "KENZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025178",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95241918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany A Honda
• Prabhu RV Shankar, MD, MS

• Nurse Practitioner in El Macero, CA
• Providers in El Macero, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.