Individual provider Active NPI

Mackenzie Danielle McMinn, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1831901826
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037328 Issued in FL
Practice address
261 Bermuda Beach Dr
Fort Pierce, FL 34949-1527
Phone
(772) 267-7954
NPI assigned
Jan 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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 11037328 FL Primary

Addresses

Primary practice location

261 Bermuda Beach Dr
Fort Pierce, FL 34949-1527

Mailing address

261 Bermuda Beach Dr
Fort Pierce, FL 34949-1527
Phone (772) 267-7954

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
I20250602003385 FL Practitioner - Nurse Practitioner 4789193657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 E Rivulon Blvd
Suite 103
Gilbert, AZ 85297-0096

6007 SE Windsong LN
Stuart, FL 34997-8263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037328FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Jul 4, 2025 Accepting new patients
Primary Care Solutions & More LLC CurrentSince May 26, 2025 Accepting new patients
Lumina Health & Wellness Family CurrentSince Jun 29, 2025 Accepting new patients
Altea Medical Florida PLLC CurrentSince Jul 4, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

Interoperability endpoints

  • Direct secure messaging: mackenzie.mc.minn.1@25403.direct.athenahealth.com

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 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": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1831901826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BERMUDA BEACH DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349491527",
            "telephone_number": "772-267-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BERMUDA BEACH DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349491527",
            "telephone_number": "772-267-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "MACKENZIE",
        "middle_name": "DANIELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.