Active NPI
Elizabeth Lauren Mackenzie, APRN
- Family Nurse Practitioner
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11007272
- Practice address
- 3571 Del Prado Blvd N Ste 2
Cape Coral, FL 33909-5287 - Phone
- (239) 656-6300
- Fax
- (239) 656-6765
- NPI assigned
- Sep 24, 2019
- Last updated
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11007272 | FL | Primary |
| Registered Nurse | 163W00000X | RN624002 | PA |
Addresses
Primary practice location
3571 Del Prado Blvd N Ste 2
Cape Coral, FL 33909-5287
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (239) 656-6300
Other practice location 1
26322 Feathersound Dr
Punta Gorda, FL 33955-4713
Phone (443) 309-4134
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elmackenzie@pacollege.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064
991 Pondella Rd
North Fort Myers, FL 33903-3500
Phone (732) 552-8922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN624002 | PA | MD | Registered Nurse |
| APRN11007272 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Infinite Medical PC | Current | Accepting new patients | |
| Mana Health Partners PA | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Careconnectmd Florida P.a. | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
3571 Del Prado Blvd N
Ste 2
Cape Coral, FL 33909
Phone (239) 656-6300
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
250 Skillman St
Ste 202
Brooklyn, NY 11205
498 Washington St
Easton, PA 18042
Phone (610) 253-4821
Interoperability endpoints
- elmackenzie@pacollege.edu
Organizations & group practices 5
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.
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- NPI 1912632886
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1841841558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "239-656-6300",
"fax_number": "239-656-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3571 DEL PRADO BLVD N STE 2",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339095287",
"telephone_number": "239-656-6300",
"fax_number": "239-656-6765"
}
],
"practiceLocations": [
{
"address_1": "26322 Feathersound Dr",
"address_purpose": "LOCATION",
"city": "Punta Gorda",
"state": "FL",
"postal_code": "339554713",
"country_code": "US",
"telephone_number": "443-309-4134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKENZIE",
"first_name": "ELIZABETH",
"middle_name": "LAUREN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11007272",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN624002",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elmackenzie@pacollege.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "107 Sunset Dr",
"city": "East Earl",
"state": "PA",
"country_code": "US",
"postal_code": "175199761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.