Individual provider Active NPI

Lesli Johnell McKenzie, APRN, FNP-C

  • Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1912681123
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1124908 Issued in TX
Practice address
3201 S Austin Ave Ste 255
Georgetown, TX 78626-7644
Phone
(512) 501-4287
Fax
(512) 651-8444
NPI assigned
Jun 9, 2023
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1124908 TX
Nurse Practitioner 363L00000X 1124908 TX Primary

Addresses

Primary practice location

3201 S Austin Ave Ste 255
Georgetown, TX 78626-7644

Mailing address

3201 S Austin Ave Ste 255
Georgetown, TX 78626-7644
Phone (512) 501-4287

Other practice location 1

1010 W 40th St
Austin, TX 78756-4010
Phone (512) 459-8753

Other names 1

  • Mrs. Lesli Johnell McFarland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231027003329 TX Practitioner - Nurse Practitioner 6406202357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgeons,PAGroup PAC ID 3870577729, 34 clinicians
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753

Merit-based Incentive Payment System (MIPS)

Final score
86.06 of 100Reported as group
Quality
67.35
Promoting interoperability
97
Improvement activities
40
Cost
72.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1124908TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic and Vascular Surgeons,PA CurrentSince Jun 14, 2023 Accepting new patients
St Davids Heart & Vascular, PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1010 W 40th St
Austin, TX 78756
Phone 5124598753102

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

3201 S Austin Ave
Ste 255
Georgetown, TX 78626
Phone (512) 501-4287

930 Kohlers Xing
Ste 650
Kyle, TX 78640
Phone (512) 651-8420

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/856/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1912681123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE STE 255",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267644",
            "telephone_number": "512-501-4287",
            "fax_number": "512-651-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE STE 255",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267644",
            "telephone_number": "512-501-4287",
            "fax_number": "512-651-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W 40th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787564010",
            "country_code": "US",
            "telephone_number": "512-459-8753",
            "fax_number": "512-483-6807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "LESLI",
        "middle_name": "JOHNELL",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1124908",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1124908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLI",
            "last_name": "MCFARLAND",
            "middle_name": "JOHNELL",
            "prefix": "MRS.",
            "credential": "LVN AND RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.