MACKENZEE KUCZMARSKI (NPI# 1821576406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821576406 |
| Entity Type | Individual |
| Full Name | MACKENZEE KUCZMARSKI |
| Credential | AGACNP-BC |
| Practice Address |
3289 N Mayfair Rd Wauwatosa WI 53222-3203 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4147717900 |
| Mailing Telephone | 4143892233 |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8553 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
8553-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100080985 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Pleasant Valley Rd, West Bend, WI 530959274 | 2628365533 | 2628367301 |
| 8701 W Watertown Plank Rd, Milwaukee, WI 532263548 | 4149551800 | |
| 9200 W Wisconsin Ave, Milwaukee, WI 532263522 | 4148059160 | 4148059170 |
| Street Address |
3289 N MAYFAIR RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737227 | David L Becker | Orthopaedic Surgery | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2005-08-17 |
| 1932593324 | Steven J Wiebe | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2015-03-24 |
| 1306100227 | Connie Anjoli Desarden | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2012-06-26 |
| 1801107560 | Anu Verma | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2010-06-28 |
| 1174854251 | Charise L. Kelm | Physical Therapist | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2010-01-29 |
| 1184811085 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-09-25 |
| 1700072931 | Meha Minhas | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-09-20 |
| 1902008196 | Jesus Casas | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-06-01 |
| 1881741148 | Raymond R Ballecer | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-01-05 |
| 1568547172 | Advanced Healthcare, S.c. | Clinic/Center | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1578196770 | Suzanne Girard | Nurse Practitioner | 2600 N Mayfair Rd Ste 545, Wauwatosa, WI 53226-1306 | 2020-02-15 |
| 1538723044 | Mh Health Care Services, PC | Nurse Practitioner | 3300 N 124th St # W14, Wauwatosa, WI 53222-3106 | 2019-04-30 |
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1750892113 | Karen Lynn Molitor | Nurse Practitioner | 2600 N. Mayfair Rd. Metropolitan Urology, Suite 545, Wauwatosa, WI 53226 | 2017-10-12 |
| 1255716783 | Baljinder Kaur | Nurse Practitioner | 830 N 109th St Ste 1, Wauwatosa, WI 53226-3754 | 2015-07-27 |
| 1942637921 | Robin Julianne-poedel Simon | Nurse Practitioner | 8320 W Bluemound Rd Ste 125, Wauwatosa, WI 53213-3367 | 2013-10-04 |
| 1437482403 | Monica Teresa Bradtke | Nurse Practitioner | 10000 Blue Mound Rd, Wauwatosa, WI 53226 | 2009-09-09 |
| 1215993555 | Angela M Paul | Nurse Practitioner | 10000 W Blue Mound Rd, Wauwatosa, WI 53226-4321 | 2006-04-25 |
| 1023617214 | Holly C Helm | Nurse Practitioner | 10800 W Capitol Dr, Wauwatosa, WI 53222-1109 | 2020-10-20 |
| Find all providers in WAUWATOSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.