Individual provider Active NPI

Mary Elizabeth Kazee, MSN, PNP-PC

  • Pediatric Nurse Practitioner
  • Merced, CA
National Provider Identifier
1922412840
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95006882 Issued in CA
Practice address
847 W Childs Ave
Merced, CA 95341-6862
Phone
(209) 383-7441
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 18063 TN
Pediatric Nurse Practitioner 363LP0200X 95006882 CA Primary

Addresses

Primary practice location

847 W Childs Ave
Merced, CA 95341-6862

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, VA, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170928001781 CA Practitioner - Nurse Practitioner 8527332600 Reassigns benefits to 1 organization
I20191009001100 WA Practitioner - Nurse Practitioner 8527332600 Reassigns benefits to 2 organizations
I20260120000336 VA Practitioner - Nurse Practitioner 8527332600 Reassigns benefits to 1 organization
I20260610002962 ID Practitioner - Nurse Practitioner 8527332600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

134 Elon Rd
Madison Heights, VA 24572-2536

PO Box
Suite 1387
Hayden, ID 83835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95006882CAMDPediatric Nurse Practitioner
18063TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Klickitat County Public Hospital District No 1 CurrentSince Apr 30, 2020 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Johnson Health Center CurrentSince Dec 15, 2025 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Johnson Health Center CurrentSince Dec 15, 2025 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Apr 30, 2020 Accepting new patients
Golden Valley Health Center CurrentSince Jul 9, 2025 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Past Accepting new patients
Johnson Health Center Past Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Ste 102
Manteca, CA 95336
Phone (209) 239-5299

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1510 Florida Ave
Ste C
Modesto, CA 95350
Phone (209) 628-1468

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1510 Florida Ave
Ste B
Modesto, CA 95350
Phone (209) 574-1365

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922412840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416862",
            "telephone_number": "209-383-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MSN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "18063",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95006882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.