Mackenzie Hodak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019390 Issued in PA

Practice address

120 Lytton Ave Ste M060
Suite M060
Pittsburgh, PA 15213-1481

Phone

(412) 692-6677

NPI assigned

Jan 9, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mackenzie.r.shields@upmcdirect.com

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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Upmc Emergency Medicine Inc

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1891744041
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1760955934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BLACK BEAR WAY",
            "address_2": "SUITE M060",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE STE M060",
            "address_2": "SUITE M060",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481",
            "telephone_number": "412-692-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODAK",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.r.shields@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alejandro Hoberman, MD
• Lauren Hobi
• Renata Dora Hoca, MD
• Ronna R Hochbein, OT
• Krista Hockenberry, CRNP
• Douglas Robert Hodapp
• Shane Hodapp
• Alan Kent Hodgdon, MD
• Cherese Hodge, M.A,
• Jason Hodge, PHARMD

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.