Active NPI
Mackenzie Weis Jones, DNP FNP-BC
- Family Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1982266235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5011935
- Practice address
- 4000 Shipyard Blvd Ste 120
Wilmington, NC 28403-6194 - Phone
- (910) 399-4992
- NPI assigned
- Jul 7, 2019
- Last updated
- Nov 19, 2019
- 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 | 5011935 | NC | Primary |
| Registered Nurse | 163W00000X | 266638 | NC |
Addresses
Primary practice location
4000 Shipyard Blvd Ste 120
Wilmington, NC 28403-6194
Mailing address
4000 Shipyard Blvd Ste 120
Wilmington, NC 28403-6194
Phone (910) 399-4992
Other practice location 1
6132 Carolina Beach Rd Ste 8
Wilmington, NC 28412-2759
Phone (910) 794-4947
Other names 1
- Mackenzie Byrne Weis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266638 | NC | MD | Registered Nurse |
| 5011935 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1982266235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 SHIPYARD BLVD STE 120",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036194",
"telephone_number": "910-399-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 SHIPYARD BLVD STE 120",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036194",
"telephone_number": "910-399-4992"
}
],
"practiceLocations": [
{
"address_1": "6132 Carolina Beach Rd Ste 8",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284122759",
"country_code": "US",
"telephone_number": "910-794-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MACKENZIE",
"middle_name": "WEIS",
"credential": "DNP FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-07",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5011935",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "266638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MACKENZIE",
"last_name": "WEIS",
"middle_name": "BYRNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.